Provider Demographics
NPI:1609462084
Name:TOSTADO, MEGAN RENEE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:RENEE
Last Name:TOSTADO
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1266
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-7266
Mailing Address - Country:US
Mailing Address - Phone:708-620-0974
Mailing Address - Fax:708-885-8160
Practice Address - Street 1:8061 186TH ST STE B
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60487-9340
Practice Address - Country:US
Practice Address - Phone:708-620-0974
Practice Address - Fax:708-885-8160
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-18
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0215231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical