Provider Demographics
NPI:1679171037
Name:COLLIER, MEGHAN DANIELLE MORASH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:DANIELLE MORASH
Last Name:COLLIER
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 1:6 CUMBERLAND STREET
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2161
Mailing Address - Country:US
Mailing Address - Phone:207-558-3261
Mailing Address - Fax:
Practice Address - Street 1:6 CUMBERLAND STREET
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2161
Practice Address - Country:US
Practice Address - Phone:207-558-3261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC189521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical