MEREDITH MCCOOK PROSAK LCSW
NPI 1932861671
Social Worker - Clinical in Johnson City, TN

Q: What is Meredith Prosak's NPI number?

The NPI number for Meredith Prosak is 1932861671. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Q: What is Meredith Prosak's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Meredith Prosak was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2021PECOS EnrolledAccepts Medicare Assignment

202 W FAIRVIEW AVE, JOHNSON CITY, TN 37604(423) 439-7371(423) 232-0420 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Meredith Mccook Prosak Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEREDITH MCCOOK PROSAK LCSW (NPI 1932861671) is an individual clinical provider in Johnson City, Tennessee, licensed in Tennessee (7798) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1932861671

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMEREDITH MCCOOK PROSAKCredential: LCSW

Location Address202 W FAIRVIEW AVEJohnson City, TN 37604-5611

Mailing Address202 W Fairview AveJohnson City, TN 37604-5611 · (423) 439-7371 · Fax (423) 232-0420

Phone(423) 439-7371

Fax(423) 232-0420

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 11, 2021

NPPES CertifiedOctober 11, 2021

✔ NPI 1932861671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TN · 7798

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

202 W FAIRVIEW AVE, Johnson City, TN 37604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Meredith Mccook Prosak Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971991266

PECOS Enrollment IDI20211019000250

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.64 – $160.89

Typical copayment $0.00 (range $13.16 – $40.22)

Most-billed visit code NA

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAST TENNESSEE STATE UNIVERSITY

Clinic/Center (Federally Qualified Health Center (FQHC))