Connie Nichols Meyer, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3206 W Owasso Blvd
Shoreview, MN 55126-4138

Phone

(651) 490-9891

NPI assigned

Apr 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073636932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 W OWASSO BLVD",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551264138",
            "telephone_number": "651-490-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 W OWASSO BLVD",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551264138",
            "telephone_number": "651-490-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CONNIE",
        "middle_name": "NICHOLS",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "3999",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle McQuiston, RN
• McKenzie Melander
• Chanttel T Melquist, PHARMD
• Sarah J. Melstrom, D.D.S.
• Courtney L Messerly, MD
• Midwest Clinical Psychologist
• Renee Lynn Miller, PT
• Millsop Chiropractic, P.a.
• Adam Hunter Millsop, D.C.
• Minnesota Vitality and Anti-Aging Center

• Clinical Social Worker in Shoreview, MN
• Providers in Shoreview, 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 Sep 11, 2025; 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.