Individual provider Active NPI

Elizabeth Lynne Merriweather, LMSW

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1376753541
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801072630 Issued in MI
Practice address
2817 W End Ave
Suite 126-241
Nashville, TN 37203-1453
Phone
(248) 877-5955
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 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 6801072630 MI Primary

Addresses

Primary practice location

2817 W End Ave
Suite 126-241
Nashville, TN 37203-1453

Mailing address

2817 W End Ave
Suite 126-241
Nashville, TN 37203-1453
Phone (248) 877-5955

Other identifiers 1

IdentifierTypeStateIssuer
LSW0000005520OtherTNLCSW LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20200929001064 TN Practitioner - Clinical Social Worker 5799733366 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801072630MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ehome Behavioral Care Clinical CurrentSince May 1, 2020 Accepting new patients
Pathways to Wholeness; Life Coaching, Inc. Clinical PastSince Nov 16, 2001 Accepting new patients

Locations

7208 W Sand Lake Rd
Ste 305
Orlando, FL 32819
Phone (407) 358-7241

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1376753541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 W END AVE",
            "address_2": "SUITE 126-241",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031453",
            "telephone_number": "248-877-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 W END AVE",
            "address_2": "SUITE 126-241",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031453",
            "telephone_number": "248-877-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIWEATHER",
        "first_name": "ELIZABETH",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801072630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "LSW0000005520",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.