Provider Demographics
NPI:1134665474
Name:MCGHEE, MEGAN (CSW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 E 17TH ST
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-4711
Mailing Address - Country:US
Mailing Address - Phone:307-509-0772
Mailing Address - Fax:307-426-4133
Practice Address - Street 1:719 E 17TH ST
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-4711
Practice Address - Country:US
Practice Address - Phone:307-509-0772
Practice Address - Fax:307-426-4133
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYCSW-2691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical