Individual provider Active NPI

Jerry J Meyer, MSW, LCSW-PIP

  • Clinical Social Worker
  • Spearfish, SD
National Provider Identifier
1013254481
Registry record updated Jan 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2007 Issued in SD
Practice address
146 W Illinois St
Spearfish, SD 57783-2035
Phone
(605) 722-8090
Fax
(605) 722-8090
NPI assigned
Jan 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2007 SD Primary

Addresses

Primary practice location

146 W Illinois St
Spearfish, SD 57783-2035

Mailing address

146 W Illinois St
Spearfish, SD 57783-2035
Phone (605) 722-8090

Other names 1

  • Mr. Gerald J Meyer Other name

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

LicenseStateTypeSpecialty
2007SDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1357344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357344000000",
    "number": "1013254481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 W ILLINOIS ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832035",
            "telephone_number": "605-722-8090",
            "fax_number": "605-722-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W ILLINOIS ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832035",
            "telephone_number": "605-722-8090",
            "fax_number": "605-722-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JERRY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW-PIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-05",
        "last_updated": "2013-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERALD",
            "last_name": "MEYER",
            "middle_name": "J",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.