Provider Demographics
NPI:1154722809
Name:MCROBERTS, MAEGAN GRAUEL (LICSW)
Entity type:Individual
Prefix:
First Name:MAEGAN
Middle Name:GRAUEL
Last Name:MCROBERTS
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:MAEGAN
Other - Middle Name:ELIZABETH
Other - Last Name:GRAUEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGSW
Mailing Address - Street 1:300 CENTURY PARK S STE 216
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3924
Mailing Address - Country:US
Mailing Address - Phone:801-200-3099
Mailing Address - Fax:855-615-2897
Practice Address - Street 1:300 CENTURY PARK S STE 216
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-3924
Practice Address - Country:US
Practice Address - Phone:801-200-3099
Practice Address - Fax:855-615-2897
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3907C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical