MEDICARE: MEGAN DANIELLE THOMPSON LMSW

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

General Provider Information

NPI Number	:	1376331330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN DANIELLE THOMPSON LMSW

Provider Business Mailing Address
First Line	:	2715 COLONIAL DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6818
Country	:	US
Telephone Number	:	803-898-1470
Fax Number	:	803-898-1471

Provider Business Practice Location Address
First Line	:	3710 LANDMARK DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-4062
Country	:	US
Telephone Number	:	803-898-1470
Fax Number	:	803-898-1471

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

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	04/29/2025

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