Nicole Renee Meredith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

87506 Issued in CA

Practice address

8050 W Judge Perez Dr Ste 1300
Chalmette, LA 70043-1736

Phone

(504) 575-3712

NPI assigned

Jun 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.meredith.1@11331.direct.athenahealth.com

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.

• City & County of San Francisco

  • Clinical Medical Laboratory
  • San Francisco, CA
  • NPI 1982737524
  Medicare reassignment NPD
• City and County of San Francisco

  • Methadone Clinic
  • San Francisco, CA
  • NPI 1578787925
  NPD
• Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1316443716
  NPD (past)
• Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • Kenner, LA
  • NPI 1417999327

  Clinical

  NPD (past)
• City & County of San Francisco

  • Primary Care Clinic/Center
  • San Francisco, CA
  • NPI 1356381214
  NPD (past)

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1366069247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 W JUDGE PEREZ DR STE 1300",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431736",
            "telephone_number": "504-575-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 W JUDGE PEREZ DR STE 1300",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431736",
            "telephone_number": "504-575-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "87506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BBS",
            "identifier": "87506",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Denee' McWilliams, MSW
• Med Beauty by Therese LLC
• Christina Melerine
• Chanel Mercadel, LCSW
• Emilee Michelle Mercadel, LPN
• Methodist Health System Foundation, Inc
• Brittany N Metzgar, FNP-C
• Jontell Maxine Miles
• Mind Your Head Counseling, LLC
• Johne Christine Mitchell, M.S.

• Clinical Social Worker in Chalmette, LA
• Providers in Chalmette, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.