MEDICARE: MEAGAN MITCHELL LCSW

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
1	1041C0700X	Clinical Social Worker	SW18730.	FL

General Provider Information

NPI Number	:	1275316028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN MITCHELL LCSW

Provider Business Mailing Address
First Line	:	444 MARMORA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-3822
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 S HYDE PARK AVE STE 120
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-4117
Country	:	US
Telephone Number	:	813-322-6377
Fax Number	:	813-322-6377

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	04/17/2026

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Directions to “ MEAGAN MITCHELL LCSW” Practice Location

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