Provider Demographics
NPI:1962881482
Name:HOWARD, MEGAN (LCSW, LMSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LCSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 E 17TH ST STE 203
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-8048
Mailing Address - Country:US
Mailing Address - Phone:208-881-0518
Mailing Address - Fax:208-881-0513
Practice Address - Street 1:1970 E 17TH ST STE 115
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-8046
Practice Address - Country:US
Practice Address - Phone:208-881-0518
Practice Address - Fax:208-881-0513
Is Sole Proprietor?:No
Enumeration Date:2015-05-29
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW 348221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1639292626OtherBLUE CROSS
ID1639292626OtherREGENCE
ID1639292626OtherPACIFIC SOURCE
ID1639292626Medicaid