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NPI Code Detail

MEDICARE: MRS. MEGAN BRIANA POPP LSW, MSW

MEDICARE: MRS. MEGAN BRIANA POPP LSW, MSW
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
1104100000XSocial Worker33012677AIN

General Provider Information

NPI Number : 1477401594
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN BRIANA POPP LSW, MSW
Provider Business Mailing Address
First Line : 7545 MILL RUN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46819-1850
Country : US
Telephone Number : 260-241-6292
Fax Number :
Provider Business Practice Location Address
First Line : 9329 ILLINOIS RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-5796
Country : US
Telephone Number : 260-241-6292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/18/2026

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