Meara W Grannan, LCSW
Individual provider Active NPI Clinical Social Worker · New Albany, IN
NPI 1770809352 · NPPES record last updated Apr 27, 2010
Key facts
- NPI
- 1770809352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34005031A (IN)
- Practice address
- 2676 Charlestown Rd Ste 9
New Albany, IN 47150-2574 - Phone
- (812) 948-8522
- NPI assigned
- Apr 8, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifespring, Inc
Practice addresses (Care Compare)
460 Spring St
Jeffersonville, IN 47130-3452
Phone (812) 280-2080
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150908000068 | IN | Practitioner - Clinical Social Worker | 6709192776 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY 4609 | KY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treat & Lindsey Counseling Associates in | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | KY 4609 | KY | |
| Clinical Social Worker | 1041C0700X | 34005031A | IN | Yes |
Addresses
Primary practice location
2676 Charlestown Rd Ste 9
New Albany, IN 47150-2574
Mailing address
1125 Creekview Cir
New Albany, IN 47150-2027
Phone (502) 608-8551
Other providers in New Albany, IN
- Johna Lee Graham
- Joshua David Graham
- Shelby Graham
- Emily Granger
- Julie C. Grannan
- Olivia Grant
- Margaret Ruth Graves
- Roy C Graves
- Harley Graw
- Cara Gray
All providers in New Albany, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.