Provider Demographics
NPI:1063745222
Name:AIKEN, MEAGAN (MSW)
Entity type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:
Last Name:AIKEN
Suffix:
Gender:
Credentials:MSW
Other - Prefix:MISS
Other - First Name:MEAGAN
Other - Middle Name:
Other - Last Name:TANNEHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:23 PARADOR CT
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-7294
Mailing Address - Country:US
Mailing Address - Phone:505-503-5797
Mailing Address - Fax:
Practice Address - Street 1:23 PARADOR CT
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-7294
Practice Address - Country:US
Practice Address - Phone:505-503-5797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMSWB-2025-02271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical