MEDICARE: MEGAN CAREFOOT COX LCSW

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	101YM0800X	Mental Health Counselor	16799	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16799	OTHER		FL DEPT OF HEALTH

General Provider Information

NPI Number	:	1063908721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN CAREFOOT COX LCSW

Provider Business Mailing Address
First Line	:	5843 PENNSYLVANIA AVE
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-2348
Country	:	US
Telephone Number	:	727-326-2563
Fax Number	:

Provider Business Practice Location Address
First Line	:	5404 HOOVER BLVD STE 15
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-5351
Country	:	US
Telephone Number	:	813-288-9111
Fax Number	:

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

Provider Enumeration Date	:	07/06/2018
Last Update Date	:	05/30/2020

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