Healthcare Provider Details

I. General information

NPI: 1386303683
Provider Name (Legal Business Name): MEGAN ELIZABETH KREBS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2021
Last Update Date: 12/14/2021
Certification Date: 12/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 W MAIN ST
BATAVIA NY
14020-1347
US

IV. Provider business mailing address

62 N SHORE DR
ALDEN NY
14004-9204
US

V. Phone/Fax

Practice location:
  • Phone: 585-599-6446
  • Fax:
Mailing address:
  • Phone: 716-949-1270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number114750
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: