Provider Demographics
NPI:1780935429
Name:DORSCH, MEAGAN (MSSW LCSW)
Entity type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:
Last Name:DORSCH
Suffix:
Gender:F
Credentials:MSSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 TOWN SQUARE CIR
Mailing Address - Street 2:APT 123
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-6110
Mailing Address - Country:US
Mailing Address - Phone:512-949-9684
Mailing Address - Fax:
Practice Address - Street 1:150 TOWN SQUARE CIR
Practice Address - Street 2:APT 123
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-6110
Practice Address - Country:US
Practice Address - Phone:704-638-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC78991041C0700X
TX518481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical