Provider Demographics
NPI:1316198013
Name:ESCARENO, MEAGHAN HOUSE (LCSW)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:HOUSE
Last Name:ESCARENO
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:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:DRIFTWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78619-0326
Mailing Address - Country:US
Mailing Address - Phone:314-650-0239
Mailing Address - Fax:
Practice Address - Street 1:1210 ROSEWOOD AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-2023
Practice Address - Country:US
Practice Address - Phone:512-765-4916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX518231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical