Provider Demographics
NPI:1467038778
Name:HAUSER, MEGAN PATRICE (LCSW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:PATRICE
Last Name:HAUSER
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 1:107 PARK LN E
Mailing Address - Street 2:
Mailing Address - City:HYPOLUXO
Mailing Address - State:FL
Mailing Address - Zip Code:33462-5401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:107 PARK LN E
Practice Address - Street 2:
Practice Address - City:HYPOLUXO
Practice Address - State:FL
Practice Address - Zip Code:33462-5401
Practice Address - Country:US
Practice Address - Phone:561-862-9969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW149951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical