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NPI Code Detail

MEDICARE: MS. MEGAN DIANE MCLEAN LCSW

MEDICARE:  MS. MEGAN DIANE MCLEAN  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 Worker1747CO

General Provider Information

NPI Number : 1720382997
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGAN DIANE MCLEAN LCSW
Provider Business Mailing Address
First Line : 1547 S SHERMAN ST
Second Line :
City : DENVER
State : CO
Zip : 80210-2621
Country : US
Telephone Number : 847-894-3271
Fax Number : 303-466-0904
Provider Business Practice Location Address
First Line : 1355 S COLORADO BLVD STE 501
Second Line :
City : DENVER
State : CO
Zip : 80222-3322
Country : US
Telephone Number : 303-695-1601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2011
Last Update Date : 06/10/2021

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Directions to “ MS. MEGAN DIANE MCLEAN LCSW” Practice Location

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