Provider Demographics
NPI:1871335737
Name:MEADOR, MEGAN NICOLE (LMSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:NICOLE
Last Name:MEADOR
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 1:23219 SCOTCH PINE CT
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA
Mailing Address - State:MD
Mailing Address - Zip Code:20619-6118
Mailing Address - Country:US
Mailing Address - Phone:240-431-8148
Mailing Address - Fax:
Practice Address - Street 1:41900 FENWICK ST STE 1
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-3815
Practice Address - Country:US
Practice Address - Phone:301-475-8860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker