MEDICARE: MEGHAN ANASTASIA COLLINS 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	44SC06399800	NJ

General Provider Information

NPI Number	:	1134998909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN ANASTASIA COLLINS LCSW

Provider Business Mailing Address
First Line	:	50 VREELAND DR STE 13
Second Line	:
City	:	SKILLMAN
State	:	NJ
Zip	:	08558-2639
Country	:	US
Telephone Number	:	609-793-9507
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 VREELAND DR STE 13
Second Line	:
City	:	SKILLMAN
State	:	NJ
Zip	:	08558-2639
Country	:	US
Telephone Number	:	609-793-9507
Fax Number	:

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

Provider Enumeration Date	:	12/21/2023
Last Update Date	:	10/07/2024

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