Healthcare Provider Details

I. General information

NPI: 1871367151
Provider Name (Legal Business Name): MEGAN SAX LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 12/26/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 E 117TH ST
KANSAS CITY MO
64134-3701
US

IV. Provider business mailing address

6210 E 95TH TER
KANSAS CITY MO
64134-1121
US

V. Phone/Fax

Practice location:
  • Phone: 816-554-5508
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: