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General NPI Number Information
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NPI Number | 1760874358
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Entity Type | Individual
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Provider Name | MEGAN KARIN CESPEDES LCSW-S, LISW-S
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Gender | Female
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Dates
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Enumeration Date | 02/19/2015
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | PO BOX 366133
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City | BONITA SPRINGS
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State | FL
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Zip | 34136-6133
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Country | US
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Telephone | 904-417-8566
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Fax | 904-431-3539
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Provider Business Mailing Address
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Address Line | PO BOX 366133
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City | BONITA SPRINGS
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State | FL
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Zip | 34136-6133
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Country | US
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Telephone | 904-417-8566
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Fax | 904-431-3549
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | ISW8338
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW13332
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LW61679222
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License Number State | WA
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