MEDICARE: MEGAN WITT 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	7708	OK

General Provider Information

NPI Number	:	1427824689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN WITT LCSW

Provider Business Mailing Address
First Line	:	5508 GLENROCK DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-2784
Country	:	US
Telephone Number	:	405-650-1917
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 ROCK MERRIT AVENUE
Second Line	:	BUILDING 4-3219
City	:	FORT LIBERTY
State	:	NC
Zip	:	28307
Country	:	US
Telephone Number	:	910-907-6825
Fax Number	:

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

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	11/05/2024

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