Provider Demographics
NPI:1346726338
Name:MEAGHAN FOSS
Entity Type:Organization
Organization Name:MEAGHAN FOSS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FOSS
Authorized Official - Suffix:
Authorized Official - Credentials:BSW LLBSW
Authorized Official - Phone:586-243-2187
Mailing Address - Street 1:58725 BATES RD
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MI
Mailing Address - Zip Code:48048-2513
Mailing Address - Country:US
Mailing Address - Phone:586-243-2187
Mailing Address - Fax:
Practice Address - Street 1:21885 DUNHAM RD STE 7
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48036-1030
Practice Address - Country:US
Practice Address - Phone:586-469-7700
Practice Address - Fax:586-783-8136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802089950104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty