Provider Demographics
NPI:1710001227
Name:MEEKS, MEGAN BACKER (LCSW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:BACKER
Last Name:MEEKS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:CARMODY
Other - Last Name:BACKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:277 DAVIS HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:KY
Mailing Address - Zip Code:40403-8858
Mailing Address - Country:US
Mailing Address - Phone:859-237-0384
Mailing Address - Fax:
Practice Address - Street 1:277 DAVIS HOLLOW RD
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:KY
Practice Address - Zip Code:40403-8858
Practice Address - Country:US
Practice Address - Phone:859-237-0384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2560521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical