Individual provider Active NPI

Meredith Rebecca Longstreath, MS, LSW

  • Social Worker
  • Springfield, OH
National Provider Identifier
1710493234
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1701656 Issued in OH
Practice address
474 N Yellow Springs St
Springfield, OH 45504-2463
Phone
(937) 390-7960
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1701656 OH Primary

Addresses

Primary practice location

474 N Yellow Springs St
Springfield, OH 45504-2463

Mailing address

22 Church St
Mechanicsburg, OH 43044-1105
Phone (573) 337-8006

Other practice location 1

22 Church St
Mechanicsburg, OH 43044-1105
Phone (573) 337-8006

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
S.1701656OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1710493234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CHURCH ST",
            "city": "MECHANICSBURG",
            "state": "OH",
            "postal_code": "430441105",
            "telephone_number": "573-337-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 N YELLOW SPRINGS ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042463",
            "telephone_number": "937-390-7960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Church St",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "OH",
            "postal_code": "430441105",
            "country_code": "US",
            "telephone_number": "573-337-8006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGSTREATH",
        "first_name": "MEREDITH",
        "middle_name": "REBECCA",
        "credential": "MS, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1701656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.