Provider Demographics
NPI:1841769361
Name:GRAHAM, MEGAN (LCSW-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:GRAHAM
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 1:2027 STILLWATER RD
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6634
Mailing Address - Country:US
Mailing Address - Phone:312-882-1360
Mailing Address - Fax:
Practice Address - Street 1:2027 STILLWATER RD
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-6634
Practice Address - Country:US
Practice Address - Phone:312-882-1360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD240151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical