Provider Demographics
NPI:1295492809
Name:MASON, MEGAN J (LISW-S)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:J
Last Name:MASON
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:SINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-S
Mailing Address - Street 1:3125 TRANVERSE DRIVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-8008
Mailing Address - Country:US
Mailing Address - Phone:419-769-4516
Mailing Address - Fax:
Practice Address - Street 1:3125 TRANSVERSE
Practice Address - Street 2:RUPPERT HEALTH CENTER
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-8004
Practice Address - Country:US
Practice Address - Phone:419-383-8703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1451387-SUPV104100000X
OHI14513871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical