Individual provider Active NPI

Kimberly Meriwether, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1831802685
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112486 Issued in CA
Practice address
6211 Waterford Blvd
Evansville, IN 47715-2869
Phone
(812) 465-6202
NPI assigned
Dec 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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 112486 CA Primary

Addresses

Primary practice location

6211 Waterford Blvd
Evansville, IN 47715-2869

Mailing address

2429 Allen St
Owensboro, KY 42303-5510
Phone (707) 218-6177

Other practice location 1

2429 Allen St
Owensboro, KY 42303-5510
Phone (707) 218-6177

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

NPI Registry JSON

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1831802685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 ALLEN ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423035510",
            "telephone_number": "707-218-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 WATERFORD BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152869",
            "telephone_number": "812-465-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2429 Allen St",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423035510",
            "country_code": "US",
            "telephone_number": "707-218-6177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERIWETHER",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.