Provider Demographics
NPI:1942894001
Name:TAFEL, MEGHAN MAUREEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:MAUREEN
Last Name:TAFEL
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 1:1342 GREYTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48359-2426
Mailing Address - Country:US
Mailing Address - Phone:248-561-1768
Mailing Address - Fax:
Practice Address - Street 1:1342 GREYTHORNE DR
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48359-2426
Practice Address - Country:US
Practice Address - Phone:248-561-1768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010810061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical