MEDICARE: MS. MEGAN T HOUSER 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	44SC05478600	NJ

General Provider Information

NPI Number	:	1972844751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEGAN T HOUSER LCSW

Provider Business Mailing Address
First Line	:	1603 REGENTS CT
Second Line	:
City	:	HILLSBOROUGH
State	:	NJ
Zip	:	08844-5533
Country	:	US
Telephone Number	:	908-432-2383
Fax Number	:

Provider Business Practice Location Address
First Line	:	491 AMWELL RD STE 103
Second Line	:
City	:	HILLSBOROUGH
State	:	NJ
Zip	:	08844-8212
Country	:	US
Telephone Number	:	908-432-2383
Fax Number	:

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

Provider Enumeration Date	:	03/04/2013
Last Update Date	:	03/04/2013

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