Healthcare Provider Details

I. General information

NPI: 1093348575
Provider Name (Legal Business Name): MEGAN MCDERMOTT LCSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 N CLAREMONT AVE FL 2
CHICAGO IL
60622-1702
US

IV. Provider business mailing address

2627 W HIRSCH ST # 1
CHICAGO IL
60622-1609
US

V. Phone/Fax

Practice location:
  • Phone: 312-493-9520
  • Fax:
Mailing address:
  • Phone: 312-493-9529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MEGAN MARIE MCDERMOTT
Title or Position: MANAGER/REGISTERED AGENT
Credential: LCSW
Phone: 312-493-9520