Provider Demographics
NPI:1760574842
Name:PERA, MEGAN (LCSW)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name:PERA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 S MAIN ST UNIT 596
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:OH
Mailing Address - Zip Code:45050-6425
Mailing Address - Country:US
Mailing Address - Phone:937-507-6520
Mailing Address - Fax:937-889-2895
Practice Address - Street 1:550 N MAIN ST UNIT B
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-7520
Practice Address - Country:US
Practice Address - Phone:937-507-6520
Practice Address - Fax:937-889-2895
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0106571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0206382Medicaid