Healthcare Provider Details

I. General information

NPI: 1104257567
Provider Name (Legal Business Name): MEGHAN ASHLEY SCHERTZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 JEFFERSON ST SW
ROANOKE VA
24014-2419
US

IV. Provider business mailing address

2017 JEFFERSON ST SW
ROANOKE VA
24014-2419
US

V. Phone/Fax

Practice location:
  • Phone: 540-981-8025
  • Fax: 540-853-0511
Mailing address:
  • Phone: 540-981-8025
  • Fax: 540-853-0511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904008446
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: