Healthcare Provider Details

I. General information

NPI: 1225832694
Provider Name (Legal Business Name): MEGAN HOWARD LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN WOOD

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 WASHINGTON ST STE 4124
WATERTOWN NY
13601-4037
US

IV. Provider business mailing address

531 WASHINGTON ST STE 4124
WATERTOWN NY
13601-4037
US

V. Phone/Fax

Practice location:
  • Phone: 315-782-4483
  • Fax: 315-785-9210
Mailing address:
  • Phone: 315-782-4483
  • Fax: 315-785-9210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number128281
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: