Healthcare Provider Details

I. General information

NPI: 1396673174
Provider Name (Legal Business Name): MEGAN LEANN SPANGLER LMSW, LCSW-I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 CALIFORNIA AVE
RENO NV
89509-1449
US

IV. Provider business mailing address

571 CALIFORNIA AVE
RENO NV
89509-1449
US

V. Phone/Fax

Practice location:
  • Phone: 775-346-4191
  • Fax:
Mailing address:
  • Phone: 775-346-4191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberIC-2981
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: