MEDICARE: MEGAN JULIA YOUNT LCSW-C

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	15464	MD

General Provider Information

NPI Number	:	1720340680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN JULIA YOUNT LCSW-C

Provider Business Mailing Address
First Line	:	3461 KESWICK RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21211-2635
Country	:	US
Telephone Number	:	443-896-6743
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 WEST ST STE 200
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401
Country	:	US
Telephone Number	:	443-826-7457
Fax Number	:

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

Provider Enumeration Date	:	06/15/2012
Last Update Date	:	06/13/2018

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