Healthcare Provider Details

I. General information

NPI: 1346915733
Provider Name (Legal Business Name): MEGAN HESS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2021
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 SULLIVAN AVE # 25
FARMINGTON NM
87401-4324
US

IV. Provider business mailing address

2301 E 20TH ST UNIT 5526
FARMINGTON NM
87499-7185
US

V. Phone/Fax

Practice location:
  • Phone: 505-578-8447
  • Fax: 505-485-0569
Mailing address:
  • Phone: 505-578-8447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2024-0738
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09930670
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberM-11342
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: