Provider Demographics
NPI:1457095978
Name:MEGAN A KNIES LCSW LLC
Entity Type:Organization
Organization Name:MEGAN A KNIES LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-437-0095
Mailing Address - Street 1:4929 RIVERWIND POINTE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-6753
Mailing Address - Country:US
Mailing Address - Phone:812-437-0095
Mailing Address - Fax:812-437-0096
Practice Address - Street 1:4929 RIVERWIND POINTE DR STE 102
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-6753
Practice Address - Country:US
Practice Address - Phone:812-437-0095
Practice Address - Fax:812-437-0096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty