Individual provider Active NPI

Stephanie Marie Meeker, MSW, LISW, CADC

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1477952638
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007103 Issued in IA
Practice address
4837 1St Ave SE
Suite 200
Cedar Rapids, IA 52402-3226
Phone
(319) 721-0765
NPI assigned
Aug 13, 2014
Last updated
Aug 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10038 IA
Clinical Social Worker 1041C0700X 007103 IA Primary

Addresses

Primary practice location

4837 1St Ave SE
Suite 200
Cedar Rapids, IA 52402-3226

Mailing address

4837 1St Ave SE
Suite 200
Cedar Rapids, IA 52402-3226
Phone (319) 721-0765

Other names 1

  • Stephanie Feickert Former 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
10038IAMDAddiction (Substance Use Disorder) Counselor
007103IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1477952638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 1ST AVE SE",
            "address_2": "SUITE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023226",
            "telephone_number": "319-721-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 1ST AVE SE",
            "address_2": "SUITE 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023226",
            "telephone_number": "319-721-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "MSW, LISW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "10038",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "FEICKERT",
            "credential": "MSW, LISW, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.