MEDICARE: MS. MONA L MEIER MSW, 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	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker	3527	OK

General Provider Information

NPI Number	:	1801942081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MONA L MEIER MSW, LCSW

Provider Business Mailing Address
First Line	:	124 SW 99TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-8907
Country	:	US
Telephone Number	:	405-735-3942
Fax Number	:

Provider Business Practice Location Address
First Line	:	10601 S WESTERN
Second Line	:	STE 107
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-6215
Country	:	US
Telephone Number	:	405-826-6983
Fax Number	:	405-735-3942

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

Provider Enumeration Date	:	01/28/2007
Last Update Date	:	09/15/2020

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