Individual provider Active NPI

Meaghan Hennings, LCSW

  • Clinical Social Worker
  • Fort Collins, CO
National Provider Identifier
1457761686
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-911 Issued in WY
Practice address
4408 John F Kennedy Pkwy Apt I306
Fort Collins, CO 80525-3599
Phone
(307) 262-4589
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 PCSW-522 WY
Clinical Social Worker 1041C0700X LCSW-911 WY Primary

Addresses

Primary practice location

4408 John F Kennedy Pkwy Apt I306
Fort Collins, CO 80525-3599

Mailing address

4408 John F Kennedy Pkwy Apt I306
Fort Collins, CO 80525-3599
Phone (307) 262-4589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241026000101 CO Practitioner - Clinical Social Worker 6103142799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-911WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Family Therapy Prof LLC Clinical CurrentSince Oct 4, 2024 Accepting new patients
Lighthouse Family Therapy Prof LLC Past Accepting new patients

Locations

1330 Oakridge Dr
Unit 105
Fort Collins, CO 80525
Phone (970) 232-5457

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1457761686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 JOHN F KENNEDY PKWY APT I306",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253599",
            "telephone_number": "307-262-4589",
            "fax_number": "307-233-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 JOHN F KENNEDY PKWY APT I306",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253599",
            "telephone_number": "307-262-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGS",
        "first_name": "MEAGHAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-522",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.