Provider Demographics
NPI:1699368324
Name:TEGTMEIER, MEGHAN AMBER (ASW, LSW)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:AMBER
Last Name:TEGTMEIER
Suffix:
Gender:F
Credentials:ASW, LSW
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:AMBER
Other - Last Name:KRAUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASW, LMSW, CSW INTER
Mailing Address - Street 1:313 BRILLIANT SUMMIT CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2374
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2360 W HORIZON RIDGE PKWY STE 120
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5082
Practice Address - Country:US
Practice Address - Phone:702-294-0433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-13
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8982-S104100000X
CA85173104100000X
NVIC-1799104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker