Healthcare Provider Details

I. General information

NPI: 1518321306
Provider Name (Legal Business Name): MEGAN YEE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2016
Last Update Date: 11/05/2021
Certification Date: 11/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 HILLSIDE AVE
NAUGATUCK CT
06770-4019
US

IV. Provider business mailing address

16 HILLSIDE AVE
NAUGATUCK CT
06770-4019
US

V. Phone/Fax

Practice location:
  • Phone: 475-208-4002
  • Fax:
Mailing address:
  • Phone: 475-208-4002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number096148-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11194
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: