Provider Demographics
NPI:1841707254
Name:FERA, MEGHAN SWEENEY (LCSW)
Entity type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:SWEENEY
Last Name:FERA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:MARIE
Other - Last Name:SWEENEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:71 S DEFRAME WAY
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5308
Mailing Address - Country:US
Mailing Address - Phone:201-978-4313
Mailing Address - Fax:
Practice Address - Street 1:71 S DEFRAME WAY
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5308
Practice Address - Country:US
Practice Address - Phone:201-978-4313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-08
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0852621041C0700X
COCSW.099248461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical