Provider Demographics
NPI:1154186815
Name:MEGAN W. SPINKS, LCSW, ACSW, INC.
Entity type:Organization
Organization Name:MEGAN W. SPINKS, LCSW, ACSW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:SPINKS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:260-459-0990
Mailing Address - Street 1:6408 CONSTITUTION DR
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-1558
Mailing Address - Country:US
Mailing Address - Phone:260-459-0990
Mailing Address - Fax:260-459-0282
Practice Address - Street 1:6408 CONSTITUTION DR
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-1558
Practice Address - Country:US
Practice Address - Phone:260-459-0990
Practice Address - Fax:260-459-0282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty