Maudisa Magona Meroe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21862 Issued in CA

Practice address

2081 Center St
Berkeley, CA 94704-1204

Phone

(323) 705-3656

NPI assigned

Jun 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1710207386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 CENTER ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041204",
            "telephone_number": "323-705-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 CENTER ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041204",
            "telephone_number": "323-705-3656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Hampshire Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland Heights",
            "state": "OH",
            "postal_code": "441062511",
            "country_code": "US",
            "telephone_number": "803-477-6750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Lawrence St # 121",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802053422",
            "country_code": "US",
            "telephone_number": "323-705-3656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEROE",
        "first_name": "MAUDISA",
        "middle_name": "MAGONA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21862",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60301219",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1303431-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002370",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09928588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lynn Meredith, MD
• Zachary Haskell Meredith, LCSW
• Rebekah Meresman
• Elyse Ann Mergenthaler, LCSW
• Jesse Merjil, LCSW
• Jennie Merovick, LCSW
• Thomas F Merrifield, PH.D.
• Margaret Merson, MA, MFT
• John D. Mesaros, MD
• Diane Pauline Mesones, RN

• Clinical Social Worker in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.