Provider Demographics
NPI:1477746436
Name:MEINHARD, MATTHEW JAMES (LISW CADC)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:JAMES
Last Name:MEINHARD
Suffix:
Gender:M
Credentials:LISW CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2504 KINGSTON DR
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-1142
Mailing Address - Country:US
Mailing Address - Phone:515-233-8613
Mailing Address - Fax:
Practice Address - Street 1:6900 UNIVSERSITY AVE
Practice Address - Street 2:STE. 135
Practice Address - City:WINDSOR HEIGHTS
Practice Address - State:IA
Practice Address - Zip Code:50324-1505
Practice Address - Country:US
Practice Address - Phone:515-243-1020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA07030101YA0400X
IA024371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)