Kyle Dean Mejeur, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW20142 Issued in FL

Practice address

2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422

Phone

(239) 652-1800

NPI assigned

Aug 16, 2010

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1144535105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 YELLOW CREEK LOOP UNIT 111",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096563",
            "telephone_number": "239-634-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 DIPLOMAT PKWY E",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095422",
            "telephone_number": "239-652-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2832 Yellow Creek Loop Unit 111",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339096563",
            "country_code": "US",
            "telephone_number": "239-634-6839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJEUR",
        "first_name": "KYLE",
        "middle_name": "DEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-16",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yudexy Medina
• Caroline Elizabeth Meehan, RN
• Patrick Michael Meehan, RN
• Misty M Meek, APRN, FNP-BC
• Meesh Transportation LLC
• Joseph Mejia
• Tzirany Mejia
• Erly Benilde Mejias Cuervos, RBT
• Marlen Mejias, RBT
• Mel Youngs DC PA

• Clinical Social Worker in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.