Provider Demographics
NPI:1851273924
Name:MCDONALD, MEGHAN CHRISTINE (CAPSW)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:CHRISTINE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:CAPSW
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:CHRISTINE
Other - Last Name:HEITMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4000 LONGFELLOW CT
Mailing Address - Street 2:
Mailing Address - City:DEFOREST
Mailing Address - State:WI
Mailing Address - Zip Code:53532-1722
Mailing Address - Country:US
Mailing Address - Phone:608-606-2085
Mailing Address - Fax:
Practice Address - Street 1:1716 FORDEM AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-4604
Practice Address - Country:US
Practice Address - Phone:608-221-3511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI134182-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical