Provider Demographics
NPI:1841865235
Name:REEDY, MEGAN KATHLEEN (LMSW)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:KATHLEEN
Last Name:REEDY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:KATHLEEN
Other - Last Name:ANTOSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:7596 MACOMB ST STE 13
Mailing Address - Street 2:
Mailing Address - City:GROSSE ILE
Mailing Address - State:MI
Mailing Address - Zip Code:48138-2205
Mailing Address - Country:US
Mailing Address - Phone:313-782-3342
Mailing Address - Fax:
Practice Address - Street 1:7596 MACOMB ST STE 13
Practice Address - Street 2:
Practice Address - City:GROSSE ILE
Practice Address - State:MI
Practice Address - Zip Code:48138-2205
Practice Address - Country:US
Practice Address - Phone:313-782-3342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical