Healthcare Provider Details

I. General information

NPI: 1497204309
Provider Name (Legal Business Name): MEGAN TARANTINO LCSW, CASAC MASTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2016
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 N BEDFORD RD STE 100
MOUNT KISCO NY
10549-2555
US

IV. Provider business mailing address

118 N BEDFORD RD STE 100
MOUNT KISCO NY
10549-2555
US

V. Phone/Fax

Practice location:
  • Phone: 914-200-3698
  • Fax:
Mailing address:
  • Phone: 914-200-3698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number095680
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number32044
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: