Provider Demographics
NPI:1427406206
Name:SANTOS, MEGHAN MCCARTHY (LICSW)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:MCCARTHY
Last Name:SANTOS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 MIDDLE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:NH
Mailing Address - Zip Code:03070-4116
Mailing Address - Country:US
Mailing Address - Phone:603-860-7625
Mailing Address - Fax:
Practice Address - Street 1:306 MIDDLE BRANCH RD
Practice Address - Street 2:
Practice Address - City:NEW BOSTON
Practice Address - State:NH
Practice Address - Zip Code:03070-4116
Practice Address - Country:US
Practice Address - Phone:603-860-7625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-02
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH15171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical