Provider Demographics
NPI:1699219121
Name:MEGHANN DARNE, LCSW
Entity Type:Organization
Organization Name:MEGHANN DARNE, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHANN
Authorized Official - Middle Name:
Authorized Official - Last Name:DARNE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:971-221-4630
Mailing Address - Street 1:1744 NE 42ND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-1537
Mailing Address - Country:US
Mailing Address - Phone:971-221-4630
Mailing Address - Fax:
Practice Address - Street 1:1744 NE 42ND AVE STE A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-1537
Practice Address - Country:US
Practice Address - Phone:971-221-4630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL62501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty