Provider Demographics
NPI:1780220939
Name:HAHN, MEAGAN (LMSW, OSW-C)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:HAHN
Suffix:
Gender:F
Credentials:LMSW, OSW-C
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:
Other - Last Name:HAHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2032 E SQUARE LAKE RD STE 200D
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3315
Mailing Address - Country:US
Mailing Address - Phone:517-202-2427
Mailing Address - Fax:
Practice Address - Street 1:2032 E SQUARE LAKE RD STE 200D
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3315
Practice Address - Country:US
Practice Address - Phone:517-202-2427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010880261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical