Active NPI
Meritt Drake
- Social Worker
- Media, PA
National Provider Identifier
1508546342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW140450
- Practice address
- 280 N Providence Rd Ste 2
Media, PA 19063-3525 - Phone
- (484) 673-6517
- NPI assigned
- Jul 18, 2023
- Sex
- Female
- 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 | SW140450 | PA | Primary |
Addresses
Primary practice location
280 N Providence Rd Ste 2
Media, PA 19063-3525
Mailing address
816 N 4TH St # 3
Philadelphia, PA 19123-2271
Phone (972) 921-2141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW140450 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Therapy LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1821940776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1508546342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 N 4TH ST # 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191232271",
"telephone_number": "972-921-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N PROVIDENCE RD STE 2",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633525",
"telephone_number": "484-673-6517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "MERITT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW140450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.