Individual provider Active NPI

Anna Marie Albonetti Meehan, LCSW

  • Clinical Social Worker
  • Louisville, CO
National Provider Identifier
1770249203
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09926346 Issued in CO
Practice address
700 Front St Ste 108
Louisville, CO 80027-1805
Phone
(901) 335-2859
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 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 09926346 CO Primary

Addresses

Primary practice location

700 Front St Ste 108
Louisville, CO 80027-1805

Mailing address

700 Front St Ste 108
Louisville, CO 80027-1805
Phone (901) 335-2859

Other practice location 1

10432 Owens St
Westminster, CO 80021-7810
Phone (901) 335-2859

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

State licenses

LicenseStateTypeSpecialty
09926346COMDClinical Social Worker

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": "1651622400000",
    "number": "1770249203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FRONT ST STE 108",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271805",
            "telephone_number": "901-335-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FRONT ST STE 108",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271805",
            "telephone_number": "901-335-2859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10432 Owens St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800217810",
            "country_code": "US",
            "telephone_number": "901-335-2859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "ANNA",
        "middle_name": "MARIE ALBONETTI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09926346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.