Provider Demographics
NPI:1437988243
Name:HOSANG, MEGAN MARIE (LISW-S, LCSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARIE
Last Name:HOSANG
Suffix:
Gender:F
Credentials:LISW-S, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 CASTILLE DR
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-9415
Mailing Address - Country:US
Mailing Address - Phone:419-217-4874
Mailing Address - Fax:
Practice Address - Street 1:2010 CASTILLE DR
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-9415
Practice Address - Country:US
Practice Address - Phone:419-217-4874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.2203400-SUPV104100000X
MO2022009051104100000X
FLSW20186104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker