# MR. JERRY J MEYER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013254481
- **Gender:** Man
- **Credential:** MSW, LCSW-PIP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 2007 | SD | Yes |

## Other

- **Enumeration date:** 01/05/2013
- **Last updated:** 01/05/2013