Basic Information
| Provider Information | |||||||||
| NPI: | 1568871812 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SVENDSEN | ||||||||
| FirstName: | MEGAN | ||||||||
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| Credential: | MSW, LISW-S | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1943 W 5TH AVE | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432121902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6143055102 | ||||||||
| FaxNumber: | 6143837786 | ||||||||
| Practice Location | |||||||||
| Address1: | 1943 W 5TH AVE | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432121902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6149177887 | ||||||||
| FaxNumber: | 6143837786 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2014 | ||||||||
| LastUpdateDate: | 11/13/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | I.0600114 SUPV | OH | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.