MEDICARE: MEAGAN CARTER OWUSU-YAW LCSW

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
2	1041C0700X	Clinical Social Worker
3	1041C0700X	Clinical Social Worker	SW14322	FL

General Provider Information

NPI Number	:	1558784991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN CARTER OWUSU-YAW LCSW

Provider Business Mailing Address
First Line	:	2995 DREW ST
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9726 MONTAGUE ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-1868
Country	:	US
Telephone Number	:	727-725-6423
Fax Number	:

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

Provider Enumeration Date	:	01/21/2014
Last Update Date	:	03/18/2025

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