Provider Demographics
NPI:1518571504
Name:RAJBANSHI, MEGAN W (LCSW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:W
Last Name:RAJBANSHI
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 1:7 OLD SHERMAN TPKE STE 102
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-4174
Mailing Address - Country:US
Mailing Address - Phone:203-303-9898
Mailing Address - Fax:203-205-0920
Practice Address - Street 1:7 OLD SHERMAN TPKE STE 102
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-4174
Practice Address - Country:US
Practice Address - Phone:203-303-9898
Practice Address - Fax:203-205-0920
Is Sole Proprietor?:No
Enumeration Date:2020-09-07
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT110671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical