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NPI Code Detail

MEDICARE: EMILY MEYER MSW

MEDICARE: EMILY MEYER MSW
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
21041C0700XClinical Social Worker13007-123WI

General Provider Information

NPI Number : 1003538976
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MEYER MSW
Provider Business Mailing Address
First Line : 535 N 39TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-3746
Country : US
Telephone Number : 414-977-5828
Fax Number :
Provider Business Practice Location Address
First Line : 535 N 39TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-3746
Country : US
Telephone Number : 414-977-5828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2022
Last Update Date : 06/17/2026

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