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NPI Code Detail

MEDICARE: MS. MEGHANN J. MCCLUSKEY LCSW

MEDICARE:  MS. MEGHANN J. MCCLUSKEY  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
1104100000XSocial Worker081903-1NY
21041C0700XClinical Social WorkerLC15294ME

General Provider Information

NPI Number : 1679880439
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGHANN J. MCCLUSKEY LCSW
Provider Business Mailing Address
First Line : 68 BISHOP STREET
Second Line : UNIT 3 ROOM 8
City : PORTLAND
State : ME
Zip : 04103-1931
Country : US
Telephone Number : 207-370-1331
Fax Number :
Provider Business Practice Location Address
First Line : 68 BISHOP ST
Second Line :
City : PORTLAND
State : ME
Zip : 04103-2681
Country : US
Telephone Number : 79-392-2842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2010
Last Update Date : 03/22/2022

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Directions to “ MS. MEGHANN J. MCCLUSKEY LCSW” Practice Location

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