Provider Demographics
NPI:1508488842
Name:THOMAS, MEGAN ROSE ASHLEY (MSW, ECE)
Entity Type:Individual
Prefix:
First Name:MEGAN ROSE
Middle Name:ASHLEY
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MSW, ECE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3827 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-3328
Mailing Address - Country:US
Mailing Address - Phone:631-445-9522
Mailing Address - Fax:
Practice Address - Street 1:5575 S SYCAMORE ST STE 108
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1141
Practice Address - Country:US
Practice Address - Phone:631-445-9522
Practice Address - Fax:720-598-5633
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-08
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092436104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker