Provider Demographics
NPI:1366642258
Name:GISH, MEGAN LORIN (MSSA, LISW-S)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:LORIN
Last Name:GISH
Suffix:
Gender:F
Credentials:MSSA, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3222 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1114
Mailing Address - Country:US
Mailing Address - Phone:614-268-3539
Mailing Address - Fax:614-268-5028
Practice Address - Street 1:3222 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-1114
Practice Address - Country:US
Practice Address - Phone:614-268-3539
Practice Address - Fax:614-268-5028
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1100015.SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical