NPI 1245806330 · live from the CMS NPI Registry
Megan R Ambros, LCSW
Social Worker, Clinical in Mequon, WI. National Provider Identifier 1245806330, active.
NPI record
| NPI | 1245806330 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 11649 N Port Washington Rd Ste 201, Mequon, WI 53092 |
| Practice phone | 262-789-1191 |
| Enumerated | May 31, 2021 |
| Last updated | January 8, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 9675-123 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.