Kiana Marie Elizabeth Meysembourg, LCSW
Individual provider Active NPI Clinical Social Worker · Schulenburg, TX
NPI 1881433993 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1881433993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 104338 (TX)
- Practice address
- PO Box 75
Schulenburg, TX 78956-0075 - Phone
- (254) 396-6070
- NPI assigned
- May 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tejas Health Care
Practice addresses (Care Compare)
890 E Travis St
La Grange, TX 78945-2364
Phone (979) 968-2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241111002895 | TX | Practitioner - Clinical Social Worker | 3779017975 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104338 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tejas Health Care | Current |
Accepting new patients | |
| Tejas Health Care | Current | Accepting new patients |
Locations
753 E Travis St
La Grange, TX 78945
Phone (979) 968-2000
890 E Travis St
La Grange, TX 78945
Phone (979) 968-2000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kiana.meysembourg.p1@direct.tejashealthcare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 104338 | TX | Yes |
Addresses
Primary practice location
PO Box 75
Schulenburg, TX 78956-0075
Mailing address
PO Box 75
Schulenburg, TX 78956-0075
Phone (254) 396-6070
Other providers in Schulenburg, TX
- Elizabeth Kozel
- Joanie Cecilia Krischke
- Tonia Livingston
- Cynthia Marie Manning
- Jessica Melton
- Michael W. Moore D.C.,P.C.
- Mobile Podiatric Medicine, PLLC
- Michael Wade Moore
- Preston David Moore
- Nutrition Plus, LLC
All providers in Schulenburg, TX · Clinical Social Worker in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.