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NPI Code Detail

MEDICARE: MEGAN MICHELE EGENRIEDER LCSW, CTP

MEDICARE: MEGAN MICHELE EGENRIEDER LCSW, CTP
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 WorkerCW025445PA

General Provider Information

NPI Number : 1477400463
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN MICHELE EGENRIEDER LCSW, CTP
Provider Business Mailing Address
First Line : 500 UNIVERSITY DR
Second Line : MC CA410
City : HERSHEY
State : PA
Zip : 17033-2360
Country : US
Telephone Number : 800-243-1455
Fax Number :
Provider Business Practice Location Address
First Line : 500 UNIVERSITY DR
Second Line : MC CA410
City : HERSHEY
State : PA
Zip : 17033-2360
Country : US
Telephone Number : 800-243-1455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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