Healthcare Provider Details

I. General information

NPI: 1467139022
Provider Name (Legal Business Name): MEAGAN EARNEST LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 PINE HALL RD STE 225
STATE COLLEGE PA
16801-5107
US

IV. Provider business mailing address

43 BONNIE LN
REEDSVILLE PA
17084-8614
US

V. Phone/Fax

Practice location:
  • Phone: 814-237-0001
  • Fax: 814-237-0116
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW026610
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: