Provider Demographics
NPI:1992365662
Name:CRAWFORD, MEGAN ANN (LISW)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:ANN
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5575 SANDALWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-4476
Mailing Address - Country:US
Mailing Address - Phone:614-329-1878
Mailing Address - Fax:
Practice Address - Street 1:3535 FISHINGER BLVD STE 110
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2000
Practice Address - Country:US
Practice Address - Phone:614-664-3595
Practice Address - Fax:614-664-3595
Is Sole Proprietor?:No
Enumeration Date:2019-06-15
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1700631104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker