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NPI Code Detail

MEDICARE: MR. SEAN THOMAS LANEGAN LCSW

MEDICARE: MR. SEAN THOMAS LANEGAN 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 Worker105083TX
21041C0700XClinical Social Worker8106TN
31041C0700XClinical Social Worker21498OK
41041C0700XClinical Social WorkerLCSW-4970-0HI
51041C0700XClinical Social WorkerLW61045082WA

General Provider Information

NPI Number : 1699361923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEAN THOMAS LANEGAN LCSW
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-9588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2020
Last Update Date : 04/02/2026

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