Individual
MEAGAN NICHOLE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
208 KIDD DR, BEREA, KY 40403-9593
(859) 428-7862
(859) 999-7869
Mailing address
PO BOX 802, BEREA, KY 40403-0802
(859) 428-7862
(859) 999-7869
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255962
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100763890
—
KY
Enumeration date
08/02/2019
Last updated
04/08/2024
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