Individual provider Active NPI

Meaghan Elizabeth Bakkum, LCSW

  • Clinical Social Worker
  • Waukesha, WI
National Provider Identifier
1750116877
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9850-123 Issued in WI
Practice address
N17W24222 Riverwood Dr Ste 170
Waukesha, WI 53188-1134
Phone
(262) 330-0092
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 9850-123 WI Primary

Addresses

Primary practice location

N17W24222 Riverwood Dr Ste 170
Waukesha, WI 53188-1134

Mailing address

1005 Burrie LN
Waukesha, WI 53188-5545
Phone (262) 385-7336

Other names 1

  • Meaghan Elizabeth Cross Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20241209002908 WI Practitioner - Clinical Social Worker 4789110172 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince Jan 3, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

N17W24222 Riverwood Dr
Ste 170
Waukesha, WI 53188
Phone (262) 648-1687

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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1750116877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BURRIE LN",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885545",
            "telephone_number": "262-385-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N17W24222 RIVERWOOD DR STE 170",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881134",
            "telephone_number": "262-330-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKUM",
        "first_name": "MEAGHAN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9850-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGHAN",
            "last_name": "CROSS",
            "middle_name": "ELIZABETH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.