Provider Demographics
NPI:1720382997
Name:MCLEAN, MEGAN DIANE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:DIANE
Last Name:MCLEAN
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 1:1547 S SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2621
Mailing Address - Country:US
Mailing Address - Phone:847-894-3271
Mailing Address - Fax:303-466-0904
Practice Address - Street 1:1355 S COLORADO BLVD STE 501
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-3322
Practice Address - Country:US
Practice Address - Phone:303-695-1601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical