Provider Demographics
NPI:1386207769
Name:JEWETT, MEAGHAN LYN (LCSW)
Entity type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:LYN
Last Name:JEWETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7345 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1180
Mailing Address - Country:US
Mailing Address - Phone:716-293-1989
Mailing Address - Fax:
Practice Address - Street 1:7345 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1180
Practice Address - Country:US
Practice Address - Phone:716-293-1989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-21
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker