Individual provider Active NPI

Meredith Brink, MSW, LISW-S, PMH-C

  • Clinical Social Worker
  • Powell, OH
National Provider Identifier
1578340915
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1501327 Issued in OH
Practice address
1460 Manning Pkwy
Powell, OH 43065-9179
Phone
(614) 383-8381
NPI assigned
Sep 11, 2023
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 I.1501327 OH Primary

Addresses

Primary practice location

1460 Manning Pkwy
Powell, OH 43065-9179

Mailing address

1219 Churchbell Way
Columbus, OH 43235-2158
Phone (614) 557-3377

Other names 1

  • Meredith Cole Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.1501327OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Women's Wellness, LLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

4625 Morse Rd
Ste 200
Gahanna, OH 43230
Phone (614) 383-8381

1460 Manning Pkwy
Powell, OH 43065
Phone (614) 383-8381

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1578340915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 CHURCHBELL WAY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432352158",
            "telephone_number": "614-557-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MANNING PKWY",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430659179",
            "telephone_number": "614-383-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "MEREDITH",
        "credential": "MSW, LISW-S, PMH-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1501327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "COLE",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.