Provider Demographics
NPI:1861011629
Name:PINNELL, MEGAN BRADLEE (MSW, LMSW)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:BRADLEE
Last Name:PINNELL
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SHAWAN RD UNIT 67
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1461
Mailing Address - Country:US
Mailing Address - Phone:443-563-8588
Mailing Address - Fax:
Practice Address - Street 1:100 SHAWAN RD UNIT 67
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-1461
Practice Address - Country:US
Practice Address - Phone:443-563-8588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD28004OtherMARYLAND BOARD OF SOCIAL WORK- LMSW
OR20-QMHP-R-0258OtherMHACBO