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NPI Code Detail

MEDICARE: MISS MEGAN MARIE POOLE LSW

MEDICARE: MISS MEGAN MARIE POOLE LSW
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 Worker104100000XIN

General Provider Information

NPI Number : 1811850738
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MEGAN MARIE POOLE LSW
Provider Business Mailing Address
First Line : 516 S ARLINGTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-8203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8150 BROOKVILLE RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46239-8903
Country : US
Telephone Number : 855-681-2430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ MISS MEGAN MARIE POOLE LSW” Practice Location

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