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NPI Code Detail

MEDICARE: MS. MEGAN ELIZABETH TAFOLLA LCSW, LICSW

MEDICARE: MS. MEGAN ELIZABETH TAFOLLA LCSW, LICSW
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 Worker23380FL
21041C0700XClinical Social Worker149.030303IL
31041C0700XClinical Social Worker134682IA
41041C0700XClinical Social WorkerTLS1458CPSC
51041C0700XClinical Social Worker5944CAL
61041C0700XClinical Social Worker0904018450VA

General Provider Information

NPI Number : 1588494694
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGAN ELIZABETH TAFOLLA LCSW, LICSW
Provider Business Mailing Address
First Line : 16467 APRICOT DR
Second Line :
City : LOXLEY
State : AL
Zip : 36551-4703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 SOUTHBRIDGE PKWY STE 650
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-1317
Country : US
Telephone Number : 850-723-7037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2024
Last Update Date : 02/11/2026

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