Provider Demographics
NPI:1093967713
Name:GEURTS, MEAGAN W (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEAGAN
Middle Name:W
Last Name:GEURTS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MEAGAN
Other - Middle Name:SARAH
Other - Last Name:WITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:720 HILL STREET
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705
Mailing Address - Country:US
Mailing Address - Phone:630-204-3020
Mailing Address - Fax:844-673-1158
Practice Address - Street 1:720 HILL STREET
Practice Address - Street 2:SUITE 210
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705
Practice Address - Country:US
Practice Address - Phone:630-204-3020
Practice Address - Fax:844-673-1158
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0129701041C0700X
WI8202 - 1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical