Provider Demographics
NPI:1982394466
Name:COUNTS, MEGGIE (LCSW)
Entity Type:Individual
Prefix:
First Name:MEGGIE
Middle Name:
Last Name:COUNTS
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 1:18 CENTRAL ST APT 3
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-3043
Mailing Address - Country:US
Mailing Address - Phone:239-896-5693
Mailing Address - Fax:
Practice Address - Street 1:18 CENTRAL ST APT 3
Practice Address - Street 2:
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945-3043
Practice Address - Country:US
Practice Address - Phone:239-896-5693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL211071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical