Trevor Bowen Mead, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

252602 Issued in KY

Practice address

1306 Richland Way
Bowling Green, KY 42103-1540

Phone

(270) 779-5881

NPI assigned

Jun 6, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Create Your Own Path, LLC

  • Clinical Social Worker
  • Hardinsburg, KY
  • NPI 1427769058
  NPD (past) Authorized official

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538698444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 RICHLAND WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031540",
            "telephone_number": "270-779-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 RICHLAND WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031540",
            "telephone_number": "270-779-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "TREVOR",
        "middle_name": "BOWEN",
        "name_prefix": "Mr.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela April McNaughton, ED.S. ECE
• Shannon McPherson, BHS
• Melissa McWaters, CRNA
• McWhorter Chiropractic, LLC
• Jeremy C McWhorter, D.C.
• Robert Meador
• Sue-Margaret Meador
• Chelsea B Meadows, CSW
• Medical Center EMS, L.L.C.
• Medical Specialists of Central Kentucky, P.S.C.

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.