Healthcare Provider Details

I. General information

NPI: 1972017879
Provider Name (Legal Business Name): MEGAN CORTESE-WOODWORTH LCAT ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2017
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 EXCHANGE ST
GENEVA NY
14456-3414
US

IV. Provider business mailing address

671 EXCHANGE ST
GENEVA NY
14456-3414
US

V. Phone/Fax

Practice location:
  • Phone: 315-830-1570
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: