Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nichole Meyer

Individual provider Clinical Social Worker · NPI 1568241016

Nichole Meyer is a Clinical Social Worker in Coon Rapids, Minnesota. Qualified in 2017, 9 years ago. Practices with Family Based Therapy Associates, a 12-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

199 Coon Rapids Blvd NW Ste 306
Coon Rapids, MN 55433-5861
Phone: (763) 780-1520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 23947 (MN)

Record details

NPI number1568241016
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address785 85th Ln Nw, Coon Rapids, MN 55433-6082

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Family Based Therapy Associates — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coon Rapids