Provider Demographics
NPI:1114706108
Name:GEER, MEAGEN LEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MEAGEN
Middle Name:LEE
Last Name:GEER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 WINDHAM RD
Mailing Address - Street 2:
Mailing Address - City:WILLIMANTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06226-3528
Mailing Address - Country:US
Mailing Address - Phone:860-465-2650
Mailing Address - Fax:
Practice Address - Street 1:289 WINDHAM RD
Practice Address - Street 2:
Practice Address - City:WILLIMANTIC
Practice Address - State:CT
Practice Address - Zip Code:06226-3528
Practice Address - Country:US
Practice Address - Phone:860-465-2650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0122951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical