Provider Demographics
NPI:1255580221
Name:CUSHING, MEGAN (LICSW)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:CUSHING
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:MACDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:184 W MAIN ST
Mailing Address - Street 2:UNIT B3
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-1234
Mailing Address - Country:US
Mailing Address - Phone:413-896-3239
Mailing Address - Fax:
Practice Address - Street 1:184 W MAIN ST
Practice Address - Street 2:UNIT B3
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1234
Practice Address - Country:US
Practice Address - Phone:413-896-3239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical