Healthcare Provider Details

I. General information

NPI: 1326532490
Provider Name (Legal Business Name): MEGAN LYNN SHAVER MSW LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2018
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1499 WINWOOD DR
LOVELAND OH
45140-7560
US

IV. Provider business mailing address

1499 WINWOOD DR
LOVELAND OH
45140-7560
US

V. Phone/Fax

Practice location:
  • Phone: 513-479-7703
  • Fax:
Mailing address:
  • Phone: 513-479-7703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2507273
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberS.1701050
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: