Provider Demographics
NPI:1427238815
Name:MEGA, CECILIA ANNE (LMSW)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:ANNE
Last Name:MEGA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14827 PRESTON RD APT 1407
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-9121
Mailing Address - Country:US
Mailing Address - Phone:214-485-1561
Mailing Address - Fax:214-485-1561
Practice Address - Street 1:14827 PRESTON RD APT 1407
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-9121
Practice Address - Country:US
Practice Address - Phone:214-485-1561
Practice Address - Fax:214-485-1561
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50721104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker