Provider Demographics
NPI:1184830044
Name:MCKEON, MEGAN K (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:K
Last Name:MCKEON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:E
Other - Last Name:KAUFFMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3406 WATER OAK DR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-8428
Mailing Address - Country:US
Mailing Address - Phone:315-790-0145
Mailing Address - Fax:
Practice Address - Street 1:448 36TH AVE. NW
Practice Address - Street 2:SUITE 101
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-1743
Practice Address - Country:US
Practice Address - Phone:405-573-9905
Practice Address - Fax:405-573-0404
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK34421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical