Provider Demographics
NPI:1629883442
Name:WHEELER, MEGAN LYNN (MSW, APSW)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:LYNN
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MSW, APSW
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:LYNN
Other - Last Name:LIST-RYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3101 LATHAM DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-4613
Mailing Address - Country:US
Mailing Address - Phone:608-286-1132
Mailing Address - Fax:608-440-2954
Practice Address - Street 1:3101 LATHAM DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-4613
Practice Address - Country:US
Practice Address - Phone:608-286-1132
Practice Address - Fax:608-440-2954
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI135211-1211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical