Individual
MEGAN STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1436 S SHELBY ST, LOUISVILLE, KY 40217-1195
(502) 635-4530
(502) 636-0597
Mailing address
1436 S SHELBY ST, LOUISVILLE, KY 40217-1195
(502) 635-4530
(502) 636-0597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255771
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100417280
—
KY
Enumeration date
07/15/2021
Last updated
07/15/2021
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