Provider Demographics
NPI:1225432818
Name:DRIESBACH PADILLA, MEGHAN ELISABETH (MSW)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ELISABETH
Last Name:DRIESBACH PADILLA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:ELISABETH
Other - Last Name:DRIESBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:3420 FIFTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-692-7919
Mailing Address - Fax:
Practice Address - Street 1:809 S 174TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-3540
Practice Address - Country:US
Practice Address - Phone:402-304-0186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9986101YM0800X
NE68681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health