Provider Demographics
NPI:1427398692
Name:FOLEY, MEGAN R (LCSW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:R
Last Name:FOLEY
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 1:4800 PLEASANT HILL DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3406
Mailing Address - Country:US
Mailing Address - Phone:540-400-7403
Mailing Address - Fax:540-400-8102
Practice Address - Street 1:4800 PLEASANT HILL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3406
Practice Address - Country:US
Practice Address - Phone:540-400-7403
Practice Address - Fax:540-400-8102
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040078911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical