Doctor Name: | MS. SUE ANN MENG |
NPI Number: | 1003931700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | C0131 |
Business Practice Address: | 2500 N State St Umc Dept Of Geriatrics Annex1 Jackson, MS - 392164500 |
Business Phone Number: | 6019845642 |
Business Fax Number: | 6019845783 |
Mailing Address: | 2500 N State St, Umc Dept Of Geriatrics Annex 1 JACKSON |
State: | MS |
Postal Code: | 392164500 |
Phone Number: | 6019845642 |
Fax Number: | 6019845783 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 04/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C0131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |