Active NPI
Meagan Elizabeth Jourdan-Brown, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1568810778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149013317
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149013317 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Clinical, PLLC | Current | 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.
-
- Adult Mental Health Clinic/Center
- Chicago, IL
- NPI 1811572241
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.