Provider Demographics
NPI:1396439501
Name:MESKAN, MEGAN (APSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MESKAN
Suffix:
Gender:F
Credentials:APSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 E MILWAUKEE ST STE 211
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-3061
Mailing Address - Country:US
Mailing Address - Phone:608-449-2356
Mailing Address - Fax:
Practice Address - Street 1:2215 S MARION AVE
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53546-5979
Practice Address - Country:US
Practice Address - Phone:608-571-4496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1342781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical