Provider Demographics
NPI:1093315327
Name:JENSEN, MEIKA (LMSW)
Entity Type:Individual
Prefix:
First Name:MEIKA
Middle Name:
Last Name:JENSEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 CEDAR PLAZA DR STE 1
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-2286
Mailing Address - Country:US
Mailing Address - Phone:563-216-5082
Mailing Address - Fax:
Practice Address - Street 1:2016 CEDAR PLAZA DR STE 1
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2286
Practice Address - Country:US
Practice Address - Phone:563-216-5082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101268104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker