Provider Demographics
NPI:1578811592
Name:DAVIS, MEGAN NUFER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:NUFER
Last Name:DAVIS
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 1:11 E 36TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3318
Mailing Address - Country:US
Mailing Address - Phone:212-685-6856
Mailing Address - Fax:917-326-8992
Practice Address - Street 1:11 E 36TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3318
Practice Address - Country:US
Practice Address - Phone:212-685-6856
Practice Address - Fax:917-326-8992
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-23
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078579-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical