Meredith Mallory Beard, M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2014019229 Issued in MO

Practice address

525 S Fillmore Ave
Kirkwood, MO 63122-6212

Phone

(618) 219-5691

NPI assigned

Mar 13, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Meredith Roedell Mallory Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Anxiety Therapists

  • Clinical Social Worker
  • Kirkwood, MO
  • NPI 1831925510
  NPD Authorized official

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1801289863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S FILLMORE AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226212",
            "telephone_number": "618-219-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S FILLMORE AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226212",
            "telephone_number": "618-219-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "MEREDITH",
        "middle_name": "MALLORY",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2014019229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "MALLORY",
            "middle_name": "ROEDELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katheryn Anne Camp Barton, LPC, M.ED.
• Amy Bates
• Patrice Bathon
• Jessie Dejohn Bean
• Charles Beard, D.D.S.,MS.
• Carolyn Beckham
• Martha C Beebe, O.D.
• Dustin M Behan, B.S.
• Behavior Connections, LLC
• Mark Beidle, MSW, LCSW

• Clinical Social Worker in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.