Mahoney, Megan

Mahoney, Megan is an individual health care provider with primary practice located at 1330 Win Hentschel Blvd Ste 258 , West Lafayette IN 47906-4149. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mahoney, Megan can be contacted via phone (317) 459-6441.

Contact Information

Primary practice address
1330 Win Hentschel Blvd Ste 258 West Lafayette IN 47906-4149
Phone: (317) 459-6441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1659347011
LBN Legal business name Mahoney, Megan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Mar 11th, 2022 - about 3 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 1659347011 NPPES
Indiana MEDICAID 100073590

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