MEDICARE: MEGAN NICOLE HAYES BSW, MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1013898964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN NICOLE HAYES BSW, MSW

Provider Business Mailing Address
First Line	:	155 INTERNATIONAL DR APT 803
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30605-6643
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	740 PRINCE AVE STE 13&14
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30606-5908
Country	:	US
Telephone Number	:	678-316-4709
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	09/09/2025

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