Ienaro, Megan C

Ienaro, Megan C is an individual health care provider with primary practice located at 501 Centre St Ste 114 , Fernandina Beach FL 32034-3936. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ienaro, Megan C can be contacted via phone (904) 321-7351.

Contact Information

Primary practice address
501 Centre St Ste 114 Fernandina Beach FL 32034-3936
Phone: (904) 321-7351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05419600 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW14290 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW14290 Florida

Profile Details

NPI number 1306908207
LBN Legal business name Ienaro, Megan C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Feb 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306908207 NPPES
New Jersey MEDICAID 8363102

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