Doctor Name: | MRS. MEGHAN JUNE CLEARY |
NPI Number: | 1013098961 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW-C |
License Number: | 12591 |
Business Practice Address: | 813-1 Chesapeake Drive Cambridge, MD - 216131835 |
Business Phone Number: | 4102212266 |
Business Fax Number: | 4102212878 |
Mailing Address: | 813-1 Chesapeake Drive, CAMBRIDGE |
State: | MD |
Postal Code: | 216131835 |
Phone Number: | 4102212266 |
Fax Number: | 4102212878 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 06/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 12591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |