Healthcare Provider Details

I. General information

NPI: 1073108700
Provider Name (Legal Business Name): MEGAN SCHWEITZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4415 SONOMA HWY
SANTA ROSA CA
95409-7100
US

IV. Provider business mailing address

4415 SONOMA HWY
SANTA ROSA CA
95409-7100
US

V. Phone/Fax

Practice location:
  • Phone: 707-327-0909
  • Fax:
Mailing address:
  • Phone: 707-327-0909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number126695
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: