Individual provider Active NPI

Maureen Lynn McEachen, LICSW

  • Clinical Social Worker
  • Carmel, CA
National Provider Identifier
1639396369
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC0030247 Issued in DC
Practice address
24843 Outlook PL
Carmel, CA 93923-8935
Phone
(831) 625-5257
Fax
(831) 277-4546
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 LC0030247 DC Primary

Addresses

Primary practice location

24843 Outlook PL
Carmel, CA 93923-8935

Mailing address

24843 Outlook PL
Carmel, CA 93923-8935
Phone (831) 625-5257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260310002602 CA Practitioner - Clinical Social Worker 7911480876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2578 Broadway
Suite 607
New York, NY 10025-7869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC0030247DCMDClinical Social Worker
66375CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network Ca PC CurrentSince Jan 25, 2026 Accepting new patients

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1639396369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24843 OUTLOOK PL",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238935",
            "telephone_number": "831-625-5257",
            "fax_number": "831-277-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24843 OUTLOOK PL",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238935",
            "telephone_number": "831-625-5257",
            "fax_number": "831-277-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEACHEN",
        "first_name": "MAUREEN",
        "middle_name": "LYNN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC0030247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

Verify at the official NPI Registry.