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NPI Code Detail

MEDICARE: MEGAN S AZEVEDO ACSW

MEDICARE: MEGAN S AZEVEDO ACSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorASW107096CA

General Provider Information

NPI Number : 1003745266
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN S AZEVEDO ACSW
Provider Business Mailing Address
First Line : 738 MERMAID AVE
Second Line :
City : PACIFIC GROVE
State : CA
Zip : 93950-2224
Country : US
Telephone Number : 559-904-8919
Fax Number :
Provider Business Practice Location Address
First Line : 738 MERMAID AVE
Second Line :
City : PACIFIC GROVE
State : CA
Zip : 93950-2224
Country : US
Telephone Number : 559-904-8919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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