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NPI Code Detail

MEDICARE: MEGAN LEWIS LCSW

MEDICARE: MEGAN LEWIS 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 Worker2015000274MO
21041C0700XClinical Social Worker2017031324MO

General Provider Information

NPI Number : 1164811535
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN LEWIS LCSW
Provider Business Mailing Address
First Line : 161 SW 1251ST RD
Second Line :
City : HOLDEN
State : MO
Zip : 64040-9353
Country : US
Telephone Number : 816-797-9517
Fax Number : 314-919-4808
Provider Business Practice Location Address
First Line : 1911 E 23RD ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64127-3701
Country : US
Telephone Number : 816-531-7737
Fax Number : 816-833-8330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2015
Last Update Date : 09/23/2024

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