Provider Demographics
NPI:1174938724
Name:MEGAW, MEREDITH GREENE (LMHC)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:GREENE
Last Name:MEGAW
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5030 TIBBETT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3414
Mailing Address - Country:US
Mailing Address - Phone:917-751-3123
Mailing Address - Fax:
Practice Address - Street 1:5030 TIBBETT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3414
Practice Address - Country:US
Practice Address - Phone:646-355-8446
Practice Address - Fax:646-535-6636
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY008535101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health