Provider Demographics
NPI:1457761686
Name:HENNINGS, MEAGHAN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MEAGHAN
Middle Name:
Last Name:HENNINGS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4408 JOHN F KENNEDY PKWY APT I306
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3599
Mailing Address - Country:US
Mailing Address - Phone:307-262-4589
Mailing Address - Fax:307-233-4705
Practice Address - Street 1:4408 JOHN F KENNEDY PKWY APT I306
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3599
Practice Address - Country:US
Practice Address - Phone:307-262-4589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPCSW-5221041C0700X
WYLCSW-9111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical