Individual provider Active NPI

Meagan Elizabeth Jourdan-Brown, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1568810778
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149013317 Issued in IL
Practice address
101 W. Grand Ave.
Suite 402
Chicago, IL 60654-7172
Phone
(773) 879-8395
Fax
(312) 639-0050
NPI assigned
May 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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 149013317 IL Primary

Addresses

Primary practice location

101 W. Grand Ave.
Suite 402
Chicago, IL 60654-7172

Mailing address

101 W. Grand Ave.
Suite 402
Chicago, IL 60654-7172
Phone (773) 879-8395

Other names 1

  • Meagan Elizabeth Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190417000045 IL Practitioner - Clinical Social Worker 6507107786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 W Grand Ave
Suite 402
Chicago, IL 60654-7129
Phone (773) 879-8395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149013317ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Clinical, PLLC CurrentSince Dec 29, 2018 Accepting new patients

Locations

101 W Grand Ave
Ste 402
Chicago, IL 60654
Phone (312) 625-2074

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1568810778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W. GRAND AVE.",
            "address_2": "SUITE 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547172",
            "telephone_number": "773-879-8395",
            "fax_number": "312-639-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W. GRAND AVE.",
            "address_2": "SUITE 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547172",
            "telephone_number": "773-879-8395",
            "fax_number": "312-639-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOURDAN-BROWN",
        "first_name": "MEAGAN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2023-10-26",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "BROWN",
            "middle_name": "ELIZABETH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.