Provider Demographics
NPI:1760795447
Name:BEUG, MEGAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name:BEUG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:SIBONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2204 SE 50TH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-3817
Mailing Address - Country:US
Mailing Address - Phone:917-886-8103
Mailing Address - Fax:
Practice Address - Street 1:530 3RD AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4651
Practice Address - Country:US
Practice Address - Phone:917-886-8103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73 0798001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical