Active NPI
Brent Andrew Meyer, L.C.S.W.
- Clinical Social Worker
- Crawfordville, FL
National Provider Identifier
1013169697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 8977
- Practice address
- 2140 Crawfordville Hwy
Suite B
Crawfordville, FL 32327-1009 - Phone
- (850) 926-1900
- Fax
- (850) 926-1930
- NPI assigned
- Oct 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 8977 | FL | Primary |
Addresses
Primary practice location
2140 Crawfordville Hwy
Suite B
Crawfordville, FL 32327-1009
Mailing address
2140 Crawfordville Hwy
Suite B
Crawfordville, FL 32327-1009
Phone (850) 926-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 8977 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1013169697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 CRAWFORDVILLE HWY",
"address_2": "SUITE B",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "323271009",
"telephone_number": "850-926-1900",
"fax_number": "850-926-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 CRAWFORDVILLE HWY",
"address_2": "SUITE B",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "323271009",
"telephone_number": "850-926-1900",
"fax_number": "850-926-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "BRENT",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-15",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 8977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crawfordville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.