Tanner McKenzie Meyer, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2024040957 Issued in NU

Practice address

11709 Old Ballas Rd Ste 203
Creve Coeur, MO 63141-7029

Phone

(314) 956-5531

Fax

(314) 594-4301

NPI assigned

Jul 23, 2024

Last updated

Feb 10, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

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)

Not enrolled

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1942038757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 REDBIRD CV",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441610",
            "telephone_number": "314-610-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 OLD BALLAS RD STE 203",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417029",
            "telephone_number": "314-956-5531",
            "fax_number": "314-594-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "TANNER",
        "middle_name": "MCKENZIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "2024040957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nichelle S Meriwether, MA
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• Metro Imaging, LLC
• Taylor Meyer
• Michael J. O'Connell, DMD, LLC
• Jennifer Bond Michaels
• John Michalka
• Mid-Town Medical Practice, LLC

• Clinical Social Worker in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.