Healthcare Provider Details

I. General information

NPI: 1336018209
Provider Name (Legal Business Name): MEGHAN MCENERNEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 NEW JERSEY RD
BROOKLAWN NJ
08030-2520
US

IV. Provider business mailing address

243 NEW JERSEY RD
BROOKLAWN NJ
08030-2520
US

V. Phone/Fax

Practice location:
  • Phone: 973-879-6277
  • Fax: 773-337-7770
Mailing address:
  • Phone: 973-879-6277
  • Fax: 773-337-7770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01142200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: