Individual provider Active NPI

Rachel Louise Meredith

  • Clinical Social Worker
  • Pass Christian, MS
National Provider Identifier
1720744386
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C8842 Issued in MS
Practice address
213 Henderson Ave
Pass Christian, MS 39571-4309
Phone
(228) 300-8819
NPI assigned
Nov 9, 2021
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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 C8842 MS Primary

Addresses

Primary practice location

213 Henderson Ave
Pass Christian, MS 39571-4309

Mailing address

213 Henderson Ave
Pass Christian, MS 39571-4309
Phone (228) 300-8819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20220126003157 MS Practitioner - Clinical Social Worker 7416349386 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Works Therapy PLLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

213 Henderson Ave
Pass Christian, MS 39571
Phone (228) 300-8819

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1720744386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HENDERSON AVE",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714309",
            "telephone_number": "228-300-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HENDERSON AVE",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714309",
            "telephone_number": "228-300-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "RACHEL",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pass Christian, MS

Sources for this page

Verify at the official NPI Registry.