Provider Demographics
NPI:1356585996
Name:MEGANCK, APRIL LYNN (LMSW)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:LYNN
Last Name:MEGANCK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 ROBERTSON DR
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-1719
Mailing Address - Country:US
Mailing Address - Phone:810-225-2433
Mailing Address - Fax:
Practice Address - Street 1:757 ROBERTSON DR
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-1719
Practice Address - Country:US
Practice Address - Phone:810-225-2433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI11219561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical