Provider Demographics
NPI:1851731772
Name:BROWN, MEGHAN ROSE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:ROSE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:954 N MCCUE ST LOT 160
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82072-6730
Mailing Address - Country:US
Mailing Address - Phone:307-413-6347
Mailing Address - Fax:
Practice Address - Street 1:404 1/2 E PARK AVE
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82070-3748
Practice Address - Country:US
Practice Address - Phone:307-413-6347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLCSW-9691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical