Provider Demographics
NPI:1316771678
Name:CLINGERMAN, MEGAN DIANE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:DIANE
Last Name:CLINGERMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:DIANE
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1209 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-1515
Mailing Address - Country:US
Mailing Address - Phone:215-840-1127
Mailing Address - Fax:
Practice Address - Street 1:1209 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-1515
Practice Address - Country:US
Practice Address - Phone:215-840-1127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0214661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical