Individual provider Active NPI

Lynn Meehan

  • Clinical Social Worker
  • Fryeburg, ME
National Provider Identifier
1902277858
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1919 Issued in NH
Practice address
253 Bridgton Rd
Fryeburg, ME 04037-1438
Phone
(207) 935-3383
Fax
(207) 935-3632
NPI assigned
Oct 16, 2015
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC15711 ME
Clinical Social Worker 1041C0700X 1919 NH Primary

Addresses

Primary practice location

253 Bridgton Rd
Fryeburg, ME 04037-1438

Mailing address

13 NH Route 16a Ste 3
Intervale, NH 03845-6300
Phone (603) 662-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1919NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Norcross Circle Associates Clinical CurrentSince Jul 1, 2020 Accepting new patients
Lynn Meehan Licsw Clinical CurrentSince May 1, 2022 Accepting new patients

Locations

13 NH Route 16A
Ste 3
Intervale, NH 03845
Phone (603) 662-2450

16 Norcross Cir
North Conway, NH 03860
Phone (603) 356-6616

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1902277858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 NH ROUTE 16A STE 3",
            "city": "INTERVALE",
            "state": "NH",
            "postal_code": "038456300",
            "telephone_number": "603-662-2450",
            "fax_number": "207-935-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 BRIDGTON RD",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371438",
            "telephone_number": "207-935-3383",
            "fax_number": "207-935-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC15711",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fryeburg, ME

Sources for this page

Verify at the official NPI Registry.