Provider Demographics
NPI:1134734809
Name:WELHOELTER, MEGAN (LMSW)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:WELHOELTER
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 1:336 STAMFORD AVE
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-8234
Mailing Address - Country:US
Mailing Address - Phone:914-843-9804
Mailing Address - Fax:
Practice Address - Street 1:30 MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1329
Practice Address - Country:US
Practice Address - Phone:914-761-6134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker