Provider Demographics
NPI:1417217654
Name:SCANLAN, MEGHAN K (LCSW)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:K
Last Name:SCANLAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:S
Other - Last Name:HENNING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:6901 S YOSEMITE ST STE 108
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1413
Mailing Address - Country:US
Mailing Address - Phone:303-720-6430
Mailing Address - Fax:
Practice Address - Street 1:6901 S YOSEMITE ST STE 108
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1413
Practice Address - Country:US
Practice Address - Phone:303-720-6430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical