Jason A Meyer, MSW, LICSW
Individual provider Active NPI Social Worker · Dunnell, MN
NPI 1164523791 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164523791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 15929 (MN)
- Practice address
- 247 70TH Ave
Dunnell, MN 56127 - Phone
- (507) 236-6898
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15929 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Minnesota Family Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 15929 | MN | Yes |
Addresses
Primary practice location
247 70TH Ave
Dunnell, MN 56127
Mailing address
247 70TH Ave
Dunnell, MN 56127
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.