Provider Demographics
NPI:1437593928
Name:HITTNER, MEGAN ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANNE
Last Name:HITTNER
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 1:160 RIVERSIDE BLVD APT 14P
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-0709
Mailing Address - Country:US
Mailing Address - Phone:732-986-1822
Mailing Address - Fax:
Practice Address - Street 1:164 W 80TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6357
Practice Address - Country:US
Practice Address - Phone:732-986-1822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054934001041C0700X
NY730796491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical