Provider Demographics
NPI:1578704243
Name:MEIXNER, MAUREEN MARY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:MARY
Last Name:MEIXNER
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 1:1830 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1103
Mailing Address - Country:US
Mailing Address - Phone:908-322-9180
Mailing Address - Fax:908-322-9094
Practice Address - Street 1:1830 FRONT ST
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1103
Practice Address - Country:US
Practice Address - Phone:908-322-9180
Practice Address - Fax:908-322-9094
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2009-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05329600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health