Individual provider Active NPI

Michael Meketon, L.C.S.W.

  • Clinical Social Worker
  • Chambersburg, PA
National Provider Identifier
1780859124
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015187 Issued in PA
Practice address
176 S Coldbrook Ave
Chambersburg, PA 17201-2714
Phone
(717) 267-3000
NPI assigned
Apr 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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 CW015187 PA Primary

Addresses

Primary practice location

176 S Coldbrook Ave
Chambersburg, PA 17201-2714

Mailing address

112 N 7TH St
Chambersburg, PA 17201-1700
Phone (717) 267-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110811000771 PA Practitioner - Clinical Social Worker 9931378718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26 State Ave
Suite 102
Carlisle, PA 17013-4457
Phone (717) 966-1837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW015187PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Meketon LCSW Clinical CurrentSince Aug 5, 2024 Accepting new patients

Locations

26 State Ave
Ste 102
Carlisle, PA 17013
Phone (717) 743-1484

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1780859124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N 7TH ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011700",
            "telephone_number": "717-267-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S COLDBROOK AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012714",
            "telephone_number": "717-267-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKETON",
        "first_name": "MICHAEL",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.