Provider Demographics
NPI:1841590783
Name:COTE, MEGAN MEISNER (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:MEISNER
Last Name:COTE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:J
Other - Last Name:MEISNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:37 BELMONT ST
Mailing Address - Street 2:SOUTH BAY MENTAL HEALTH
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5299
Mailing Address - Country:US
Mailing Address - Phone:508-580-4691
Mailing Address - Fax:508-583-5980
Practice Address - Street 1:37 BELMONT ST
Practice Address - Street 2:SOUTH BAY MENTAL HEALTH
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5299
Practice Address - Country:US
Practice Address - Phone:508-580-4691
Practice Address - Fax:508-583-5980
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1181511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical