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NPI Code Detail

MEDICARE: KASEY MEYER LICSW

MEDICARE: KASEY MEYER LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker22215MN

General Provider Information

NPI Number : 1649806688
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASEY MEYER LICSW
Provider Business Mailing Address
First Line : 7801 E BUSH LAKE RD STE 400
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55439-3113
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7801 E BUSH LAKE RD STE 400
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55439-3113
Country : US
Telephone Number : 952-479-4261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2020
Last Update Date : 06/28/2024

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Directions to “ KASEY MEYER LICSW” Practice Location

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