Provider Demographics
NPI:1144107459
Name:WEST, MEGAN KATE (LICSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:KATE
Last Name:WEST
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 KENTHURST LN SE
Mailing Address - Street 2:
Mailing Address - City:GURLEY
Mailing Address - State:AL
Mailing Address - Zip Code:35748-8033
Mailing Address - Country:US
Mailing Address - Phone:210-884-5057
Mailing Address - Fax:
Practice Address - Street 1:30 KENTHURST LN SE
Practice Address - Street 2:
Practice Address - City:GURLEY
Practice Address - State:AL
Practice Address - Zip Code:35748-8033
Practice Address - Country:US
Practice Address - Phone:210-884-5057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6436C101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health