Active NPI
Richard S Meeker, MSW, LISW
- Social Worker
- Mansfield, OH
National Provider Identifier
1396283370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1700029
- Practice address
- 380 Cline Ave
#3
Mansfield, OH 44907-1022 - Phone
- (419) 606-3873
- NPI assigned
- Feb 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1700029 | OH | Primary |
Addresses
Primary practice location
380 Cline Ave
#3
Mansfield, OH 44907-1022
Mailing address
9382 W Easton Rd
West Salem, OH 44287-9589
Phone (419) 606-3873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170612001459 | OH | Practitioner - Clinical Social Worker | 8729356910 | Practice locations: Galion, OH; Mansfield, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
380 Cline Ave
Suite 3
Mansfield, OH 44907-1022
Phone (419) 606-3873
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1700029 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1396283370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9382 W EASTON RD",
"city": "WEST SALEM",
"state": "OH",
"postal_code": "442879589",
"telephone_number": "419-606-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 CLINE AVE",
"address_2": "#3",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449071022",
"telephone_number": "419-606-3873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKER",
"first_name": "RICHARD",
"middle_name": "S",
"credential": "MSW, LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-09",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "1700029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.