Provider Demographics
NPI:1124180401
Name:WILLIAMS, MEGAN EILEEN (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:EILEEN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:EILEEN
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2906 EDWARDS ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-4110
Mailing Address - Country:US
Mailing Address - Phone:406-782-1950
Mailing Address - Fax:
Practice Address - Street 1:381 BEST PLACE RD
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-8736
Practice Address - Country:US
Practice Address - Phone:406-447-6822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT7681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT502299Medicaid