Provider Demographics
NPI:1598125445
Name:O'BRIEN, MEGAN ELIZABETH (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:34 N FRANKLIN AVE
Mailing Address - Street 2:STE 687 #5238
Mailing Address - City:PINEDALE
Mailing Address - State:WY
Mailing Address - Zip Code:82941-9049
Mailing Address - Country:US
Mailing Address - Phone:801-871-5468
Mailing Address - Fax:307-314-0060
Practice Address - Street 1:34 N FRANKLIN AVE
Practice Address - Street 2:STE 687 #5238
Practice Address - City:PINEDALE
Practice Address - State:WY
Practice Address - Zip Code:82941-9049
Practice Address - Country:US
Practice Address - Phone:801-871-5468
Practice Address - Fax:307-314-0060
Is Sole Proprietor?:No
Enumeration Date:2016-03-03
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME222411041C0700X
ID369761041C0700X
UT11999193-35011041C0700X
WY10561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical