Individual provider Active NPI

Megan Simental

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1548830557
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3505 Village Dr
Fayetteville, NC 28304-4513
Phone
(910) 615-3737
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Social Worker 104100000X P016333 NC

Addresses

Primary practice location

3505 Village Dr
Fayetteville, NC 28304-4513

Mailing address

3505 Village Dr
Fayetteville, NC 28304-4513
Phone (910) 615-3737

Other practice location 1

1960 Kimball Ave Fl 3
Manhattan, KS 66502-3391
Phone (877) 463-6505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250407000833 NC Practitioner - Clinical Social Worker 9032633532 Reassigns benefits to 1 organization
I20260429002154 KS Practitioner - Clinical Social Worker 9032633532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 Gallant Fox CT
Parkton, NC 28371-7717

1921 Ransom PL
Nashville, TN 37217-3841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P016333NCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Dec 12, 2024 Accepting new patients
Centerstone of Tennesse Inc. CurrentSince Dec 12, 2024 Accepting new patients

Locations

1960 Kimball Ave
Fl 3
Manhattan, KS 66502
Phone (877) 463-6505

3505 Village Dr
Fayetteville, NC 28304
Phone (910) 323-0065

3505 Village Dr
Ste 101
Fayetteville, NC 28304
Phone (615) 463-6669

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

Organizations & group practices 2

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1548830557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 VILLAGE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044513",
            "telephone_number": "910-615-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 VILLAGE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044513",
            "telephone_number": "910-615-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 Kimball Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665023391",
            "country_code": "US",
            "telephone_number": "877-463-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMENTAL",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P016333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.