Healthcare Provider Details

I. General information

NPI: 1821926072
Provider Name (Legal Business Name): MEGAN TIERNEY LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 CITY LINE RD STE 300
BETHLEHEM PA
18017-7701
US

IV. Provider business mailing address

2005 CITY LINE RD STE 300
BETHLEHEM PA
18017-7701
US

V. Phone/Fax

Practice location:
  • Phone: 610-865-8177
  • Fax:
Mailing address:
  • Phone: 610-865-8177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL074422200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW144159
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: