Stacey E Meath, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16432 Issued in MN

Practice address

2705 Bunker Lake Blvd NW
Suite 100
Andover, MN 55304-3784

Phone

(763) 482-9598

Fax

(612) 235-6447

NPI assigned

Sep 16, 2011

Last updated

Feb 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey E Grenz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rum River Counseling, Inc.

  • Marriage & Family Therapist
  • Andover, MN
  • NPI 1073578472

  Clinical

  NPD (past)

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1649552415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 BUNKER LAKE BLVD NW",
            "address_2": "SUITE 100",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043784",
            "telephone_number": "763-482-9598",
            "fax_number": "612-235-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 BUNKER LAKE BLVD NW",
            "address_2": "SUITE 100",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043784",
            "telephone_number": "763-482-9598",
            "fax_number": "612-235-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEATH",
        "first_name": "STACEY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "GRENZ",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanette Michele McGie, LICSW, MSW
• Amelia McGinley, LICSW
• Jennifer McIntyre, PA-C
• Luke Lynden McLain, MS
• Laurie Ann McLeod-Lorence, M.D.
• Kallie Medenwald, M.S CF-SLP
• Medexpress Urgent Care Minnesota P.C. (MedExpress Urgent Care - Andover, Bunker Lake Blvd NW)
• Allison Merriman, LMFT
• Kendra Mertes, MOTR/L
• Kayla Middendorf, DC

• Clinical Social Worker in Andover, MN
• Providers in Andover, 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 Feb 9, 2015; 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.