MEDICARE: MRS. MEGAN KARIN CESPEDES LCSW-S, LISW-S

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	104100000X	Social Worker	ISW8338	FL
3	1041C0700X	Clinical Social Worker	SW13332	FL
4	104100000X	Social Worker	LW61679222	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1760874358	OTHER	FL	MEGAN
2	1699152553	OTHER	FL	BUSINESS NPI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760874358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGAN KARIN CESPEDES LCSW-S, LISW-S

Provider Business Mailing Address
First Line	:	PO BOX 366133
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34136-6133
Country	:	US
Telephone Number	:	904-417-8566
Fax Number	:	904-431-3549

Provider Business Practice Location Address
First Line	:	PO BOX 366133
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34136-6133
Country	:	US
Telephone Number	:	904-417-8566
Fax Number	:	904-431-3539

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

Provider Enumeration Date	:	02/19/2015
Last Update Date	:	06/24/2025

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Directions to “ MRS. MEGAN KARIN CESPEDES LCSW-S, LISW-S” Practice Location

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