Healthcare Provider Details

I. General information

NPI: 1487084539
Provider Name (Legal Business Name): MEGAN STEINWAGNER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN MORIARTY-STEINWAGNER LSW

II. Dates (important events)

Enumeration Date: 11/26/2013
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 LAKE DRIVE
HOWELL NJ
07731
US

IV. Provider business mailing address

25 LAKE DRIVE
HOWELL NJ
07731
US

V. Phone/Fax

Practice location:
  • Phone: 732-684-1922
  • Fax: 732-897-9541
Mailing address:
  • Phone: 732-684-1922
  • Fax: 732-897-9541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44L05782200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: