Provider Demographics
NPI:1558934224
Name:KANE, MEAGHAN LYNNE (ACSW)
Entity Type:Individual
Prefix:MS
First Name:MEAGHAN
Middle Name:LYNNE
Last Name:KANE
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 VINE ST APT A
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2544
Mailing Address - Country:US
Mailing Address - Phone:949-232-7464
Mailing Address - Fax:
Practice Address - Street 1:1100 VINE ST APT A
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-2544
Practice Address - Country:US
Practice Address - Phone:949-232-7464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA818001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical