Provider Demographics
NPI:1609480235
Name:AUCHINCLOSS, MEAGHAN (LMSW)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:
Last Name:AUCHINCLOSS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 E DIAMOND AVE STE H
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-5322
Mailing Address - Country:US
Mailing Address - Phone:240-672-3435
Mailing Address - Fax:
Practice Address - Street 1:10607 OUTPOST DR
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-4359
Practice Address - Country:US
Practice Address - Phone:240-237-5134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD259781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical