MEDICARE: MEGAN CHAMBERS 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	2355S0801X	Speech-Language Assistant	38195	TX
2	1041C0700X	Clinical Social Worker	67843	TX

General Provider Information

NPI Number	:	1245742493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN CHAMBERS LCSW

Provider Business Mailing Address
First Line	:	7404 ENGLEMAN CT
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-1444
Country	:	US
Telephone Number	:	817-504-6910
Fax Number	:

Provider Business Practice Location Address
First Line	:	7404 ENGLEMAN CT
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-1444
Country	:	US
Telephone Number	:	817-504-6910
Fax Number	:

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

Provider Enumeration Date	:	10/27/2017
Last Update Date	:	03/19/2022

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Directions to “ MEGAN CHAMBERS LCSW” Practice Location

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