MEDICARE: BRITTANY MEYER LCSW

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
1	1041C0700X	Clinical Social Worker	2018043070	MO
2	1041C0700X	Clinical Social Worker	149.020322	IL

General Provider Information

NPI Number	:	1639754484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY MEYER LCSW

Provider Business Mailing Address
First Line	:	5909 HARTFORD ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63139-2327
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5909 HARTFORD ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63139-2327
Country	:	US
Telephone Number	:	217-722-0227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2021
Last Update Date	:	03/12/2021

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