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General NPI Number Information
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NPI Number | 1467943167
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Entity Type | Individual
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Provider Name | MEGAN LINDSTROM LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1424 DEBORAH RD SE STE 205
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City | RIO RANCHO
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State | NM
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Zip | 87124-6619
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Country | US
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Telephone | 281-202-7207
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Fax | 505-212-6336
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Provider Business Mailing Address
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Address Line | 3169 ASHKIRK LOOP SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-3614
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Country | US
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Telephone | 281-202-7207
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SWB-2022-0499
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | M-10323
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License Number State | NM
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