MEDICARE: MS. DANA MEADOWS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC05510700	NJ

General Provider Information

NPI Number	:	1073831509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA MEADOWS LCSW

Provider Business Mailing Address
First Line	:	137 PEBBLE RD
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-1262
Country	:	US
Telephone Number	:	908-520-5088
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 PEBBLE RD
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-1262
Country	:	US
Telephone Number	:	908-520-5088
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2010
Last Update Date	:	02/14/2023

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