Healthcare Provider Details

I. General information

NPI: 1588579783
Provider Name (Legal Business Name): MEGHAN FARQUHARSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 BALLTOWN RD
NISKAYUNA NY
12309-2397
US

IV. Provider business mailing address

23 HILLS RD
BALLSTON LAKE NY
12019-9231
US

V. Phone/Fax

Practice location:
  • Phone: 518-382-2511
  • Fax:
Mailing address:
  • Phone: 518-728-3993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number103973
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number103973
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: