MEDICARE: MEGAN TARANTINO LCSW, CASAC MASTER

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	1041C0700X	Clinical Social Worker	095680	NY
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	32044	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497204309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN TARANTINO LCSW, CASAC MASTER

Provider Business Mailing Address
First Line	:	118 N BEDFORD RD STE 100
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-2555
Country	:	US
Telephone Number	:	914-200-3698
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 N BEDFORD RD STE 100
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-2555
Country	:	US
Telephone Number	:	914-200-3698
Fax Number	:

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

Provider Enumeration Date	:	10/04/2016
Last Update Date	:	03/18/2026

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