Provider Demographics
NPI:1679014047
Name:BEILER, MEGAN JOY (LSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:JOY
Last Name:BEILER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 MOHAWK CIR
Mailing Address - Street 2:
Mailing Address - City:NANTY GLO
Mailing Address - State:PA
Mailing Address - Zip Code:15943-1163
Mailing Address - Country:US
Mailing Address - Phone:814-341-8007
Mailing Address - Fax:
Practice Address - Street 1:1510 MOHAWK CIR
Practice Address - Street 2:
Practice Address - City:NANTY GLO
Practice Address - State:PA
Practice Address - Zip Code:15943-1163
Practice Address - Country:US
Practice Address - Phone:814-341-8007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW134196104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker