Healthcare Provider Details

I. General information

NPI: 1942138615
Provider Name (Legal Business Name): MEGHAN KEATING MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3464 WASHINGTON DR
EAGAN MN
55122-1453
US

IV. Provider business mailing address

15318 JEFFERS PASS NW
PRIOR LAKE MN
55372-3614
US

V. Phone/Fax

Practice location:
  • Phone: 651-348-8551
  • Fax: 651-409-2029
Mailing address:
  • Phone: 952-270-4724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number32200
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: