Individual provider Active NPI

Meredith Justice, LICSW, MPH

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1861043473
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4969C Issued in AL
Practice address
2 Perimeter Park S Ste 435E
Birmingham, AL 35243-3218
Phone
(205) 203-9111
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 4969C AL Primary

Addresses

Primary practice location

2 Perimeter Park S Ste 435E
Birmingham, AL 35243-3218

Mailing address

3651 Richelieu Dr
Vestavia Hills, AL 35216-5351
Phone (205) 478-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20241204002585 AL Practitioner - Clinical Social Worker 0941736722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Stillwell Mental Health LLCGroup PAC ID 1557709557, 3 clinicians

Practice addresses (Care Compare)

2 Perimeter Park S
Suite 435E
Birmingham, AL 35243-3218
Phone (205) 203-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4969CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwell Mental Health LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

2 Perimeter Park S
Ste 435E
Birmingham, AL 35243
Phone (205) 203-9111

3105 Sunview Dr
Unit 43285
Vestavia, AL 35243

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1861043473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 RICHELIEU DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352165351",
            "telephone_number": "205-478-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PERIMETER PARK S STE 435E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433218",
            "telephone_number": "205-203-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "MEREDITH",
        "credential": "LICSW, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4969C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.