Individual provider · Type 1 NPI

Connie Nichols Meyer, MA

Clinical Social Worker · Shoreview, MN

NPI number 1073636932 Active

Practice location

3206 W Owasso Blvd
Shoreview, MN 55126-4138

Specialties and licenses

TaxonomyCodeLicense
Counseling Psychologist 103TC1900X3999 (MN)
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073636932

Connie Nichols Meyer, MA's National Provider Identifier is 1073636932, issued on Apr 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shoreview, MN. The record was last updated on Sep 11, 2025.