Healthcare Provider Details

I. General information

NPI: 1043934102
Provider Name (Legal Business Name): MEGAN YORK MCCRARY MSW, LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 W DUTTON ST
KALAMAZOO MI
49007-5145
US

IV. Provider business mailing address

436 W DUTTON ST
KALAMAZOO MI
49007-5145
US

V. Phone/Fax

Practice location:
  • Phone: 865-292-9449
  • Fax:
Mailing address:
  • Phone: 865-292-9449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP018317
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: