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NPI Code Detail

MEDICARE: MEGAN MCDERMOTT LCSW, LLC

MEDICARE: MEGAN MCDERMOTT LCSW, LLC
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
1251S00000XCommunity/Behavioral Health Agency
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1093348575
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEGAN MCDERMOTT LCSW, LLC
Provider Business Mailing Address
First Line : 2627 W HIRSCH ST # 1
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1609
Country : US
Telephone Number : 312-493-9529
Fax Number :
Provider Business Practice Location Address
First Line : 1431 N CLAREMONT AVE FL 2
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1702
Country : US
Telephone Number : 312-493-9520
Fax Number :
Authorized Official
Title or Position : MANAGER/REGISTERED AGENT
Name : MEGAN MARIE MCDERMOTT
Credential : LCSW
Telephone Number : 312-493-9520
Provider Enumeration Date : 02/13/2020
Last Update Date : 02/20/2026

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