Provider Demographics
NPI:1811025638
Name:FURNISH, MEGAN R (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:R
Last Name:FURNISH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MRS
Other - First Name:MEGAN
Other - Middle Name:R
Other - Last Name:FURNISH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:209 BLACKWELL RD
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-4206
Mailing Address - Country:US
Mailing Address - Phone:732-598-7992
Mailing Address - Fax:
Practice Address - Street 1:209 BLACKWELL RD
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-4206
Practice Address - Country:US
Practice Address - Phone:732-598-7992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053676001041C0700X
ORL51651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical