Cynthia White Meyer, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10510 Issued in MN

Practice address

2677 Innsbruck Dr
Suite D
New Brighton, MN 55112-6395

Phone

(651) 633-9233

Fax

(651) 633-9485

NPI assigned

May 17, 2007

Last updated

Mar 2, 2012By 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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Soul Work Counseling, LLCGroup PAC ID 4789910233, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Soul Work Counseling, LLC

  • Community/Behavioral Health Agency
  • Blaine, MN
  • NPI 1710295001
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1962619049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 ONONDAGA WAY NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323533",
            "telephone_number": "651-307-4899",
            "fax_number": "651-633-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 INNSBRUCK DR",
            "address_2": "SUITE D",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126395",
            "telephone_number": "651-633-9233",
            "fax_number": "651-633-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CYNTHIA",
        "middle_name": "WHITE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "6383256",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40F73ME",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mental Health Associates, P.a.
• Mental Health Nursing LLC
• Meridian Behavioral Health
• Kelsey Marie Metz, D.C.
• Isabel Sloan Meyer-Mueller
• Juli Christine Meyer, MSSW,LICSW
• Michelle Beilby Counseling LLC
• Thomas Frederick Micka, MD
• Mike Marek Counseling LLC
• Mia Mikel, L.A.D.C.

• Clinical Social Worker in New Brighton, MN
• Providers in New Brighton, 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 Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.