Provider Demographics
NPI:1548895097
Name:WHYARD, MEGHAN ELISE MCDONALD (LISW)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ELISE MCDONALD
Last Name:WHYARD
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5552 SUNSET LN
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-2086
Mailing Address - Country:US
Mailing Address - Phone:330-416-4165
Mailing Address - Fax:
Practice Address - Street 1:3818 W 25TH
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109
Practice Address - Country:US
Practice Address - Phone:330-416-4165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2001314-TRNE1041C0700X
OHS.21058061041C0700X
172V00000X
OHI.25062001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No172V00000XOther Service ProvidersCommunity Health Worker