Individual provider Active NPI

Meagan Kayla Mesirow, LSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1285221002
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150103702 Issued in IL
Practice address
2150 W Lawrence Ave Ste a
Chicago, IL 60625-1582
Phone
(773) 887-6447
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150103702 IL Primary

Addresses

Primary practice location

2150 W Lawrence Ave Ste a
Chicago, IL 60625-1582

Mailing address

2970 N Sheridan Rd Apt 1127
Chicago, IL 60657-5829
Phone (847) 707-6873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150103702ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MKM Therapy PLLC Current Accepting new patients
Transcend Counseling Chicago, LLC CurrentSince Jan 3, 2021 Accepting new patients

Locations

2150 W Lawrence Ave
Ste A
Chicago, IL 60625
Phone (773) 887-6447

1300 W Belmont Ave
Ste 508
Chicago, IL 60657
Phone (815) 474-3380

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1285221002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 N SHERIDAN RD APT 1127",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575829",
            "telephone_number": "847-707-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W LAWRENCE AVE STE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251582",
            "telephone_number": "773-887-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESIROW",
        "first_name": "MEAGAN",
        "middle_name": "KAYLA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150103702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.