Provider Demographics
NPI:1679160709
Name:HARBERT, MEGAN SARAH (MSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:SARAH
Last Name:HARBERT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 E DAKOTA AVE STE Q
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-4821
Mailing Address - Country:US
Mailing Address - Phone:559-216-1075
Mailing Address - Fax:559-216-1932
Practice Address - Street 1:1925 E DAKOTA AVE STE Q
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-4821
Practice Address - Country:US
Practice Address - Phone:559-216-1075
Practice Address - Fax:559-216-1932
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98160104100000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker