Individual provider Active NPI

Meghan Van Vliet, LICSW

  • Clinical Social Worker
  • Haverhill, MA
National Provider Identifier
1356751275
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110532 Issued in MA
Practice address
60 Merrimack St
Haverhill, MA 01830-6207
Phone
(978) 373-1126
Fax
(978) 373-6363
NPI assigned
Apr 30, 2014
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110532 MA Primary

Addresses

Primary practice location

60 Merrimack St
Haverhill, MA 01830-6207

Mailing address

1 Knights LN
Newburyport, MA 01950-3433
Phone (978) 828-4388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 4, 2026 through Jun 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1356751275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KNIGHTS LN",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503433",
            "telephone_number": "978-828-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MERRIMACK ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306207",
            "telephone_number": "978-373-1126",
            "fax_number": "978-373-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN VLIET",
        "first_name": "MEGHAN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.