Individual provider Active NPI

Robert Meador

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1962994301
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8155 Issued in OK
Practice address
1911 B. Scottsville Rd.
Bowling Green, KY 42104-3303
Phone
(270) 746-0283
Fax
(270) 746-9679
NPI assigned
Jun 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6451-P OK
Clinical Social Worker 1041C0700X 256598 KY
Clinical Social Worker 1041C0700X 8155 OK Primary

Addresses

Primary practice location

1911 B. Scottsville Rd.
Bowling Green, KY 42104-3303

Mailing address

1911 B. Scottsville Rd.
Bowling Green, KY 42104-3303
Phone (270) 746-0283

Other identifiers 1

IdentifierTypeStateIssuer
200345410AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211210000785 OK Practitioner - Clinical Social Worker 6608266416 Reassigns benefits to 1 organization
I20220902001756 KY Practitioner - Clinical Social Worker 6608266416 Practice locations: Bowling Green, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1911 B Scottsville Rd
Bowling Green, KY 42104-3303
Phone (270) 746-0283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256598KYMDClinical Social Worker
6451-POKMDClinical Social Worker
8155OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Mental Health, LLC CurrentSince Oct 19, 2021 Accepting new patients
Alliance Mental Health, LLC CurrentSince Oct 19, 2021 Accepting new patients

Locations

1402 N Florence Ave
Ste B
Claremore, OK 74017
Phone 9186080380716

8988 S Sheridan Rd
Ste D2
Tulsa, OK 74133
Phone (970) 834-8610

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1962994301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 B. SCOTTSVILLE RD.",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043303",
            "telephone_number": "270-746-0283",
            "fax_number": "270-746-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 B. SCOTTSVILLE RD.",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043303",
            "telephone_number": "270-746-0283",
            "fax_number": "270-746-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOR",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "6451-P",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256598",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "8155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200345410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.