Provider Demographics
NPI:1962003392
Name:LEARY, MEAGAN A (LCSW)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:A
Last Name:LEARY
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 1:40335 WINCHESTER RD
Mailing Address - Street 2:SUITE E#278
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-2907
Mailing Address - Country:US
Mailing Address - Phone:401-471-0626
Mailing Address - Fax:
Practice Address - Street 1:40335 WINCHESTER RD
Practice Address - Street 2:SUITE E#278
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-2907
Practice Address - Country:US
Practice Address - Phone:401-471-0626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1162271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical