Provider Demographics
NPI:1396954368
Name:MCNAMARA, MEGHAN (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 WOODCREEK CIR STE 105-B
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-9156
Mailing Address - Country:US
Mailing Address - Phone:443-695-5665
Mailing Address - Fax:410-356-8299
Practice Address - Street 1:122 WOODCREEK CIR
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-9156
Practice Address - Country:US
Practice Address - Phone:443-695-5665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD126031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical