Individual provider Active NPI

Meagan Shirlen, LCSWA, MSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1790553881
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P019385 Issued in NC
Practice address
1042 Washington St
Raleigh, NC 27605-1258
Phone
(919) 442-8302
NPI assigned
Dec 18, 2023
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 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 P019385 NC Primary

Addresses

Primary practice location

1042 Washington St
Raleigh, NC 27605-1258

Mailing address

1042 Washington St
Raleigh, NC 27605-1258
Phone (919) 442-8302

Other practice location 1

3622 Lyckan Pkwy Ste 4003
Durham, NC 27707-2566
Phone (919) 442-8302

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
P019385NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1790553881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051258",
            "telephone_number": "919-442-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051258",
            "telephone_number": "919-442-8302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3622 Lyckan Pkwy Ste 4003",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072566",
            "country_code": "US",
            "telephone_number": "919-442-8302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRLEN",
        "first_name": "MEAGAN",
        "credential": "LCSWA, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-10-22",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.