Individual provider Active NPI

Meredith Ashley Harris, LCSW

  • Clinical Social Worker
  • San Ramon, CA
National Provider Identifier
1518728567
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119471 Issued in CA
Practice address
2821 Crow Canyon Rd Ste 202
San Ramon, CA 94583-1659
Phone
(925) 216-3510
NPI assigned
Jan 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 119471 CA Primary

Addresses

Primary practice location

2821 Crow Canyon Rd Ste 202
San Ramon, CA 94583-1659

Mailing address

501 Birkdale Dr
Vallejo, CA 94591-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240213003393 CA Practitioner - Clinical Social Worker 7911340302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Wellness CenterGroup PAC ID 8426464124, 14 clinicians

Practice addresses (Care Compare)

2821 Crow Canyon Rd
Suite 202
San Ramon, CA 94583-1659
Phone (925) 216-3510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119471CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Wellness Center Clinical CurrentSince Feb 1, 2024 Accepting new patients

Locations

2821 Crow Canyon Rd
Ste 202
San Ramon, CA 94583
Phone (925) 216-3510

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": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1518728567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BIRKDALE DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945914322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 CROW CANYON RD STE 202",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831659",
            "telephone_number": "925-216-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MEREDITH",
        "middle_name": "ASHLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.