Provider Demographics
NPI:1467171421
Name:WINTERS, MEGAN (SASHA) ANASTASSIA (LMSW)
Entity Type:Individual
Prefix:
First Name:MEGAN (SASHA)
Middle Name:ANASTASSIA
Last Name:WINTERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 LOWER MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12839-2686
Mailing Address - Country:US
Mailing Address - Phone:518-918-6897
Mailing Address - Fax:
Practice Address - Street 1:421 LOWER MAIN ST
Practice Address - Street 2:
Practice Address - City:HUDSON FALLS
Practice Address - State:NY
Practice Address - Zip Code:12839-2686
Practice Address - Country:US
Practice Address - Phone:518-918-6897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY117294104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker