Provider Demographics
NPI:1982399770
Name:VONHANDORF, MEGAN (LISW)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:VONHANDORF
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 E ROBERTSON RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR MILL
Mailing Address - State:KY
Mailing Address - Zip Code:41015-2142
Mailing Address - Country:US
Mailing Address - Phone:859-486-1076
Mailing Address - Fax:
Practice Address - Street 1:820 E ROBERTSON RD
Practice Address - Street 2:
Practice Address - City:TAYLOR MILL
Practice Address - State:KY
Practice Address - Zip Code:41015-2142
Practice Address - Country:US
Practice Address - Phone:859-486-1076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2571261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical