MR. MICHAEL JOHN MEEHAN (LCSW) – Clinical Social Worker, NPI 1063496453

MR. MICHAEL JOHN MEEHAN (LCSW) is a healthcare provider. based in St augustine, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW1047 (FL). The NPI Number for MR. MICHAEL JOHN MEEHAN (LCSW) is 1063496453

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL JOHN MEEHAN (LCSW)
NPI
1063496453
Phone
(904) 797-2705
Address
9 SAINT JOHNS MEDICAL PK DR
Enumeration Date
30 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
3274721550
Group Practice PAC ID
4587852249
Professional Enrollment ID
I20101230000963
Address ID
FL320865954ST9XXXXDRXX601
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

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Provider Addresses for MR. MICHAEL JOHN MEEHAN (LCSW)

  • 9, Saint Johns Medical Park Drive, St. Augustine South, Saint Johns County, Florida, 32086, United States

    ST AUGUSTINE, FL 320865343

    Phone: (904) 797-2705

    Fax: (904) 797-2820

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101230000963IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour9915$0
90834Psychotherapy, 45 minutes5614$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587852249View full group profile
NameSpecialtyState
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL

Reviews

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Frequently asked questions

What identifier follows MR. MICHAEL JOHN MEEHAN (LCSW) across health systems?
The NPI 1063496453 uniquely identifies MR. MICHAEL JOHN MEEHAN (LCSW) in U.S. healthcare data.
Does the public listing show MR. MICHAEL JOHN MEEHAN (LCSW) as active?
MR. MICHAEL JOHN MEEHAN (LCSW)'s NPI record reflects an active status in NPPES.
How should patients interpret MR. MICHAEL JOHN MEEHAN (LCSW)'s specialty?
The extract shows Clinical Social Worker for MR. MICHAEL JOHN MEEHAN (LCSW). Clinical services aligned with this taxonomy classification.
Can patients visit MR. MICHAEL JOHN MEEHAN (LCSW) in St Augustine, Florida?
For routing, start with St Augustine, Florida for MR. MICHAEL JOHN MEEHAN (LCSW), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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