Provider Demographics
NPI:1538820774
Name:SERADSKY, MEGHAN (LCSW)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:SERADSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BOWLING GREEN PKWY STE 159
Mailing Address - Street 2:
Mailing Address - City:LAKE HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07849-2256
Mailing Address - Country:US
Mailing Address - Phone:862-217-6201
Mailing Address - Fax:
Practice Address - Street 1:5 BOWLING GREEN PKWY STE 159
Practice Address - Street 2:
Practice Address - City:LAKE HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07849-2256
Practice Address - Country:US
Practice Address - Phone:862-217-6201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-09
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC06216100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker