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NPI Code Detail

MEDICARE: MEGHAN RENEE DENIKE LCSW

MEDICARE: MEGHAN RENEE DENIKE 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
11041C0700XClinical Social Worker27473CA

General Provider Information

NPI Number : 1639364177
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN RENEE DENIKE LCSW
Provider Business Mailing Address
First Line : 4060 WATSON PLAZA DR
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-4033
Country : US
Telephone Number : 562-497-3567
Fax Number :
Provider Business Practice Location Address
First Line : 4060 WATSON PLAZA DR
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-4033
Country : US
Telephone Number : 562-497-3567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2007
Last Update Date : 03/01/2024

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