Provider Demographics
NPI:1851600894
Name:CONTI, MEGAN M (LCSW-R, DSW)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:M
Last Name:CONTI
Suffix:
Gender:F
Credentials:LCSW-R, DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 PEARSALL AVE
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-2618
Mailing Address - Country:US
Mailing Address - Phone:516-574-1018
Mailing Address - Fax:
Practice Address - Street 1:105 PEARSALL AVE
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-2618
Practice Address - Country:US
Practice Address - Phone:516-574-1018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-24
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73 0825341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical