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NPI Code Detail

MEDICARE: MEGAN LEAP LSW

MEDICARE:   MEGAN  LEAP  LSW
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
1101YM0800XMental Health Counselor44SL07376300NJ

General Provider Information

NPI Number : 1366300634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN LEAP LSW
Provider Business Mailing Address
First Line : 28 3RD AVE
Second Line :
City : PEMBERTON
State : NJ
Zip : 08068-1944
Country : US
Telephone Number : 609-553-3190
Fax Number :
Provider Business Practice Location Address
First Line : 28 3RD AVE
Second Line :
City : PEMBERTON
State : NJ
Zip : 08068-1944
Country : US
Telephone Number : 609-553-3190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “ MEGAN LEAP LSW” Practice Location

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