Individual provider Active NPI

Meghan Elizabeth Trevino, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1497035018
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2015 Maxwell Ave
Evansville, IN 47711-4359
Phone
(812) 422-7974
Fax
(812) 671-0627
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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 Primary

Addresses

Primary practice location

2015 Maxwell Ave
Evansville, IN 47711-4359

Mailing address

2015 Maxwell Ave
Evansville, IN 47711-4359
Phone (812) 422-7974

Other practice location 1

6040 Tile Factory Rd
Mount Vernon, IN 47620-6902
Phone (661) 316-9475

Other identifiers 1

IdentifierTypeStateIssuer
34009148AOtherINSTATE OF INDIANA

Other names 1

  • Meghan Elizabeth Henning Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210715002761 IN Practitioner - Clinical Social Worker 6901208750 Practice locations: Evansville, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2015 Maxwell Ave
Evansville, IN 47711-4359
Phone (812) 422-9774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1497035018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114359",
            "telephone_number": "812-422-7974",
            "fax_number": "812-671-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114359",
            "telephone_number": "812-422-7974",
            "fax_number": "812-671-0627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 Tile Factory Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IN",
            "postal_code": "476206902",
            "country_code": "US",
            "telephone_number": "661-316-9475",
            "fax_number": "812-671-0627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF INDIANA",
            "identifier": "34009148A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "HENNING",
            "middle_name": "ELIZABETH",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.