Provider Demographics
NPI:1679071435
Name:MCMANUS, MEGHAN ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:ANN
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ANN
Other - Last Name:MCMANUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3215 MARTIN LUTHER KING JR BLVD STE O
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29625-1715
Mailing Address - Country:US
Mailing Address - Phone:706-503-5030
Mailing Address - Fax:
Practice Address - Street 1:3215 MARTIN LUTHER KING JR BLVD STE O
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625
Practice Address - Country:US
Practice Address - Phone:864-540-8184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-26
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00015871041C0700X
SC145341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical