Provider Demographics
NPI:1831445436
Name:HILL, MEGAN LEIGH (LMSW)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:LEIGH
Last Name:HILL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:LEIGH
Other - Last Name:LARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:140 BEACH 112TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694
Mailing Address - Country:US
Mailing Address - Phone:718-525-5550
Mailing Address - Fax:718-525-5440
Practice Address - Street 1:140 BEACH 112TH ST
Practice Address - Street 2:
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694
Practice Address - Country:US
Practice Address - Phone:718-525-5550
Practice Address - Fax:718-525-5440
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0865851041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool