Provider Demographics
NPI:1174356687
Name:NORDIN, MEGAN NICOLE (LMSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:NICOLE
Last Name:NORDIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4604 S SUGAR RD APT 1123
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-0140
Mailing Address - Country:US
Mailing Address - Phone:903-335-1634
Mailing Address - Fax:
Practice Address - Street 1:4604 S SUGAR RD APT 1123
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-0140
Practice Address - Country:US
Practice Address - Phone:903-335-1634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67799104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker