Provider Demographics
NPI:1568810778
Name:JOURDAN-BROWN, MEAGAN ELIZABETH (LCSW)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:ELIZABETH
Last Name:JOURDAN-BROWN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:ELIZABETH
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:101 W. GRAND AVE.
Mailing Address - Street 2:SUITE 402
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-7172
Mailing Address - Country:US
Mailing Address - Phone:773-879-8395
Mailing Address - Fax:312-639-0050
Practice Address - Street 1:101 W. GRAND AVE.
Practice Address - Street 2:SUITE 402
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-7172
Practice Address - Country:US
Practice Address - Phone:773-879-8395
Practice Address - Fax:312-639-0050
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490133171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical