Individual provider Active NPI

Tracy Lyn Meek, LCSW

  • Clinical Social Worker
  • Abingdon, VA
National Provider Identifier
1790157790
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008745 Issued in VA
Practice address
190 E Main St
Abingdon, VA 24210-2854
Phone
(276) 738-4831
Fax
(844) 444-0697
NPI assigned
Oct 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 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 0904008745 VA Primary

Addresses

Primary practice location

190 E Main St
Abingdon, VA 24210-2854

Mailing address

190 E Main St
Abingdon, VA 24210-2854
Phone (276) 944-3999

Other practice location 1

13168 Meadowview Square
Meadowview, VA 24361-3328
Phone (276) 738-4831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200102001841 VA Practitioner - Clinical Social Worker 1254765001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
East Tennessee State University Quillen College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

190 E Main St
Abingdon, VA 24210-2854
Phone (276) 738-4831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008745VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Therapy, LLC Clinical CurrentSince Sep 14, 2021 Accepting new patients

Locations

190 E Main St
Abingdon, VA 24210
Phone (276) 738-4831

190 E Main St
Fl 2
Abingdon, VA 24210

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1790157790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102854",
            "telephone_number": "276-944-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102854",
            "telephone_number": "276-738-4831",
            "fax_number": "844-444-0697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13168 Meadowview Square",
            "address_purpose": "LOCATION",
            "city": "Meadowview",
            "state": "VA",
            "postal_code": "243613328",
            "country_code": "US",
            "telephone_number": "276-738-4831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEK",
        "first_name": "TRACY",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.