Provider Demographics
NPI:1023406113
Name:BROWN, MEGHAN STENGER (LCSW)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:STENGER
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 1:1351 NEWTOWN PIKE
Mailing Address - Street 2:BUILDING 5
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-1275
Mailing Address - Country:US
Mailing Address - Phone:859-233-0444
Mailing Address - Fax:859-268-8888
Practice Address - Street 1:1351 NEWTOWN PIKE
Practice Address - Street 2:BUILDING 5
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-1275
Practice Address - Country:US
Practice Address - Phone:859-233-0444
Practice Address - Fax:859-268-8888
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY7070104100000X
KY2527271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1790731081Medicaid