Individual provider Active NPI

Virginia A Meinke, LCSW

  • Clinical Social Worker
  • Clifton, NJ
National Provider Identifier
1396132262
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05695500 Issued in NJ
Practice address
47 Rowland Ave
Clifton, NJ 07012-1234
Phone
(727) 644-5755
NPI assigned
Apr 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW12472 FL
Clinical Social Worker 1041C0700X 44SC05695500 NJ Primary

Addresses

Primary practice location

47 Rowland Ave
Clifton, NJ 07012-1234

Mailing address

47 Rowland Ave
Clifton, NJ 07012-1234
Phone (727) 644-5755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150820010839 FL Practitioner - Clinical Social Worker 5193030005 Reassigns benefits to 1 organization
I20171005002313 NJ Practitioner - Clinical Social Worker 5193030005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

47 Rowland Ave
Clifton, NJ 07012-1234
Phone (727) 644-5755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW12472FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Moon Senior Counseling Clinical CurrentSince Jun 15, 2015 Accepting new patients

Locations

2057 Edgewater Dr
Clearwater, FL 33755
Phone (727) 205-7077

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

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": "1429315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1396132262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ROWLAND AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121234",
            "telephone_number": "727-644-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ROWLAND AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121234",
            "telephone_number": "727-644-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINKE",
        "first_name": "VIRGINIA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-18",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12472",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05695500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.