Provider Demographics
NPI:1467908798
Name:BURTON, MEGAN (MSW, CISW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:BURTON
Suffix:
Gender:F
Credentials:MSW, CISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 222611
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00822-2611
Mailing Address - Country:US
Mailing Address - Phone:340-473-0782
Mailing Address - Fax:
Practice Address - Street 1:#2A ESTATE MT. WASHINGTON
Practice Address - Street 2:
Practice Address - City:FREDERIKSTED
Practice Address - State:VI
Practice Address - Zip Code:00840
Practice Address - Country:US
Practice Address - Phone:340-473-0782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI2-35104-1B1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical