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NPI Code Detail

MEDICARE: MEAGHAN HOUSE ESCARENO LCSW

MEDICARE: MEAGHAN HOUSE ESCARENO 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
11041C0700XClinical Social Worker51823TX

General Provider Information

NPI Number : 1316198013
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGHAN HOUSE ESCARENO LCSW
Provider Business Mailing Address
First Line : PO BOX 326
Second Line :
City : DRIFTWOOD
State : TX
Zip : 78619-0326
Country : US
Telephone Number : 314-650-0239
Fax Number :
Provider Business Practice Location Address
First Line : 1210 ROSEWOOD AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2023
Country : US
Telephone Number : 512-765-4916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 05/13/2021

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Directions to “ MEAGHAN HOUSE ESCARENO LCSW” Practice Location

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