Connor Richard Meers, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1180 California Dr Apt 103
Saint Paul, MN 55108-2208

Phone

(320) 249-5624

NPI assigned

Aug 28, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1053196113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 CALIFORNIA DR APT 103",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082208",
            "telephone_number": "320-249-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 CALIFORNIA DR APT 103",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082208",
            "telephone_number": "320-249-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEERS",
        "first_name": "CONNOR",
        "middle_name": "RICHARD",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medtox Laboratories, Inc
• Linda Colleen Medvec, RN
• Dmitri Mikhaylovich Medvedovski, PHD
• Medvidi Health PC
• Medxpress Health PLLC
• Sharon Meese, LICSW
• Ann Megas, MD
• James C. Megas, PH.D.
• Wondimagegn Aschalew Megersa
• Lyuba Megits, M.D.

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.