Individual provider Active NPI

Meng Xiao Lu, LISW-S

  • Clinical Social Worker
  • Lorain, OH
National Provider Identifier
1619456969
Registry record updated Oct 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002302 Issued in OH
Practice address
6140 S Broadway
Lorain, OH 44053-3821
Phone
(440) 233-7232
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1701566 OH
Clinical Social Worker 1041C0700X I.2002302 OH Primary

Addresses

Primary practice location

6140 S Broadway
Lorain, OH 44053-3821

Mailing address

910 Deer Run Dr
Amherst, OH 44001-2558
Phone (440) 308-6919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210412000592 OH Practitioner - Clinical Social Worker 2264840248 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1701566OHMDSocial Worker
I.2002302OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Riveon Mental Health and Recovery CurrentSince Jan 7, 2021 Accepting new patients
Insight Counseling and Wellness LLC CurrentSince Jun 17, 2024 Accepting new patients
Riveon Mental Health and Recovery Current Accepting new patients

Locations

398 W Bagley Rd
Ste 13
Berea, OH 44017
Phone (440) 970-3790

4565 Dressler Rd NW
Ste 112
Canton, OH 44718
Phone (330) 765-5160

6140 S Broadway
Lorain, OH 44053
Phone (440) 233-7232

7547 Mentor Ave
Ste 300
Mentor, OH 44060
Phone (440) 701-6170

7547 Mentor Ave
#300
Mentor, OH 44060

7547 Mentor Ave
Ste 306
Mentor, OH 44060
Phone (440) 701-6170

Organizations & group practices 3

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1619456969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 DEER RUN DR",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012558",
            "telephone_number": "440-308-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 S BROADWAY",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533821",
            "telephone_number": "440-233-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "MENG",
        "middle_name": "XIAO",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1701566",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.