National Provider Identifier
Kristen C Meehan, LCSW
Kristen C Meehan, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 258-6956.
Profile Overview
- NPI
- 1780956979
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- February 02, 2012
- Last Updated
- September 01, 2021
Practice Location
- 130 E Spencer St
- Ithaca, NY 14850-5608
Phone: (607) 258-6956
Mailing Address
- 407 College Avenue, #517
- Suite #2
- Ithaca, NY 14850-5474
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1780956979
- Entity Type
- Individual
- Last Name
- Meehan
- First Name
- Kristen
- Middle Name
- C
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 407 College Avenue, #517
- Mailing Address Line 2
- Suite #2
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5474
- Mailing Country
- US
- Mailing Phone
- (607) 258-6956
- Mailing Fax
- (833) 523-2396
- Practice Street Address
- 130 E Spencer St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5608
- Practice Country
- US
- Practice Phone
- (607) 258-6956
- Practice Fax
- (833) 523-2396
- Enumeration Date
- February 02, 2012
- Last Updated
- September 01, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 01, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)