Individual provider Active NPI

Meghan A Mowery, RCSWI

  • Clinical Social Worker
  • Crawfordville, FL
National Provider Identifier
1669043493
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW21423 Issued in FL
Practice address
305 Revell Rd
Crawfordville, FL 32327-2419
Phone
(920) 470-6618
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 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 SW21423 FL Primary

Addresses

Primary practice location

305 Revell Rd
Crawfordville, FL 32327-2419

Mailing address

305 Revell Rd
Crawfordville, FL 32327-2419
Phone (920) 470-6618

Other identifiers 1

IdentifierTypeStateIssuer
15844OtherFLREGISTERED CLINICAL SOCIAL WORK INTERN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://bebravehealth.com/ Direct Brave Health Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230516002572 FL Practitioner - Clinical Social Worker 6608232731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brave Health Inc.Group PAC ID 8123458981, 112 clinicians

Practice addresses (Care Compare)

305 Revell Rd
Crawfordville, FL 32327-2419
Phone (305) 902-6347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Inc. CurrentSince May 3, 2023 Accepting new patients

Locations

1951 NW 7th Ave
Miami, FL 33136
Phone (305) 930-8939

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

Interoperability endpoints

  • Direct secure messaging: meghan.mowery.1@23300.direct.athenahealth.com

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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1669043493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 REVELL RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272419",
            "telephone_number": "920-470-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 REVELL RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272419",
            "telephone_number": "920-470-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWERY",
        "first_name": "MEGHAN",
        "middle_name": "A",
        "credential": "RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED CLINICAL SOCIAL WORK INTERN",
            "identifier": "15844",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bebravehealth.com/",
            "affiliation": "Y",
            "affiliationName": "Brave Health Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1951 NW 7th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331361104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crawfordville, FL

Sources for this page

Verify at the official NPI Registry.