Individual provider Active NPI

Meagan Riesenberger, LMSW, OSW-C

  • Clinical Social Worker
  • Clarkston, MI
National Provider Identifier
1780220939
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088026 Issued in MI
Practice address
6300 Sashabaw Rd
Clarkston, MI 48346-2269
Phone
(517) 202-2427
NPI assigned
Nov 22, 2019
Last updated
Jul 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 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 6801088026 MI Primary

Addresses

Primary practice location

6300 Sashabaw Rd
Clarkston, MI 48346-2269

Mailing address

6300 Sashabaw Rd
Clarkston, MI 48346-2269
Phone (517) 202-2427

Other names 1

  • Meagan Hahn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200319002540 MI Practitioner - Clinical Social Worker 7214365584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clarity Counseling Services LLCGroup PAC ID 3870828767, 2 clinicians

Practice addresses (Care Compare)

6300 Sashabaw Rd
Suite B
Clarkston, MI 48346-2269
Phone (517) 202-2427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801088026MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Counseling Services, LLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

6300 Sashabaw Rd
Ste B
Clarkston, MI 48346
Phone (248) 210-5353

2032 E Square Lake Rd
Ste 200D
Troy, MI 48085
Phone (517) 202-2427

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": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1780220939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 SASHABAW RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462269",
            "telephone_number": "517-202-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SASHABAW RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462269",
            "telephone_number": "517-202-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESENBERGER",
        "first_name": "MEAGAN",
        "credential": "LMSW, OSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "HAHN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.