Individual provider Active NPI

Meaghan Zerrle, LCSW

  • Clinical Social Worker
  • Peekskill, NY
National Provider Identifier
1477633030
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077010 Issued in NY
Practice address
50 Dayton LN Ste 205
Andrus Childrens Center at Peekskill
Peekskill, NY 10566-2860
Phone
(914) 736-3371
Fax
(914) 736-3372
NPI assigned
Oct 17, 2006
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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 077010 NY Primary

Addresses

Primary practice location

50 Dayton LN Ste 205
Andrus Childrens Center at Peekskill
Peekskill, NY 10566-2860

Mailing address

1156 N Broadway
Andrus Children's Center
Yonkers, NY 10701-1108
Phone (914) 965-3700

Other identifiers 3

IdentifierTypeStateIssuer
1285628552OtherNYAGENCY NPI
00355940OtherNYAGENCY MEDICAID #
077010OtherNYLCSW LICENSE

Other names 1

  • Meaghan Dunne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20091124000381 NY Practitioner - Clinical Social Worker 6305985797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Julia Dyckman Andrus Memorial, Inc. CurrentSince Oct 7, 2009 Accepting new patients

Locations

50 Dayton Ln
Ste 205
Peekskill, NY 10566
Phone (914) 736-3371

19 Greenridge Ave
White Plains, NY 10605
Phone (914) 949-7680

1156 N Broadway
Yonkers, NY 10701
Phone (914) 965-3700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1477633030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 N BROADWAY",
            "address_2": "ANDRUS CHILDREN'S CENTER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011108",
            "telephone_number": "914-965-3700",
            "fax_number": "914-965-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DAYTON LN STE 205",
            "address_2": "ANDRUS CHILDRENS CENTER AT PEEKSKILL",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662860",
            "telephone_number": "914-736-3371",
            "fax_number": "914-736-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERRLE",
        "first_name": "MEAGHAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY NPI",
            "identifier": "1285628552",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICAID #",
            "identifier": "00355940",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "077010",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGHAN",
            "last_name": "DUNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peekskill, NY

Sources for this page

Verify at the official NPI Registry.