Provider Demographics
NPI:1699522128
Name:SMITH, MEGHANN ELIZABETH (MSW, CSW, CADC)
Entity type:Individual
Prefix:
First Name:MEGHANN
Middle Name:ELIZABETH
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSW, CSW, CADC
Other - Prefix:
Other - First Name:MEGHANN
Other - Middle Name:ELIZABETH
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11429 HIGHWAY 330 W
Mailing Address - Street 2:
Mailing Address - City:BERRY
Mailing Address - State:KY
Mailing Address - Zip Code:41003-8684
Mailing Address - Country:US
Mailing Address - Phone:859-322-5994
Mailing Address - Fax:
Practice Address - Street 1:3000 DECKER CRANE LN
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41017-1168
Practice Address - Country:US
Practice Address - Phone:859-363-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY255118104100000X
KY278062101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker