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NPI Code Detail

MEDICARE: MEGAN FOX LCSW

MEDICARE:   MEGAN  FOX  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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1104474923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN FOX LCSW
Provider Business Mailing Address
First Line : PO BOX 637764
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-7764
Country : US
Telephone Number : 317-880-3939
Fax Number :
Provider Business Practice Location Address
First Line : 3419 ENGLISH AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-4328
Country : US
Telephone Number : 317-880-8491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2019
Last Update Date : 09/16/2025

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