Provider Demographics
NPI:1942998687
Name:TAKACE, MEGAN (LMSW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:TAKACE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8009 N IONIA RD
Mailing Address - Street 2:
Mailing Address - City:VERMONTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49096-9780
Mailing Address - Country:US
Mailing Address - Phone:269-744-1886
Mailing Address - Fax:
Practice Address - Street 1:8009 N IONIA RD
Practice Address - Street 2:
Practice Address - City:VERMONTVILLE
Practice Address - State:MI
Practice Address - Zip Code:49096-9780
Practice Address - Country:US
Practice Address - Phone:269-744-1886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical