Individual provider Active NPI

Megan Elizabeth McCarthy, CSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1750926168
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7621 Issued in KY
Practice address
10300 Brookridge Village Blvd Ste 104
Louisville, KY 40291-4474
Phone
(502) 785-4322
Fax
(502) 785-4433
NPI assigned
Nov 8, 2019
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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 7621 KY Primary

Addresses

Primary practice location

10300 Brookridge Village Blvd Ste 104
Louisville, KY 40291-4474

Mailing address

10300 Brookridge Village Blvd Ste 104
Louisville, KY 40291-4474
Phone (502) 785-4322

Other practice location 1

1347 S 3rd St Ste 209
Louisville, KY 40208-2344
Phone (502) 785-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20231205003704 KY Practitioner - Clinical Social Worker 6800245630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7621KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Family Therapy Center Inc. CurrentSince Nov 1, 2023 Accepting new patients
Wellspace Psychiatry LLC PastSince Nov 14, 2022 Accepting new patients

Locations

10300 Brookridge Village Blvd
Ste 104
Louisville, KY 40291
Phone (502) 727-8697

9700 Park Plaza Ave
Unit 210
Louisville, KY 40241
Phone (502) 419-4289

Organizations & group practices 2

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": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1750926168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 BROOKRIDGE VILLAGE BLVD STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914474",
            "telephone_number": "502-785-4322",
            "fax_number": "502-785-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 BROOKRIDGE VILLAGE BLVD STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914474",
            "telephone_number": "502-785-4322",
            "fax_number": "502-785-4433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1347 S 3rd St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402082344",
            "country_code": "US",
            "telephone_number": "502-785-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "7621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.