Provider Demographics
NPI:1083096721
Name:CADE, MEGAN REBECCA (LSW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:REBECCA
Last Name:CADE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W COURT AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3532
Mailing Address - Country:US
Mailing Address - Phone:812-206-0488
Mailing Address - Fax:
Practice Address - Street 1:100 W COURT AVE STE 102
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3532
Practice Address - Country:US
Practice Address - Phone:812-206-0488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33007349A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker