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NPI Code Detail

MEDICARE: MEGAN KIMBALL LCSW

MEDICARE: MEGAN KIMBALL 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 WorkerLICSW1142914MA
21041C0700XClinical Social WorkerLCSW230067MA

General Provider Information

NPI Number : 1821986696
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN KIMBALL LCSW
Provider Business Mailing Address
First Line : 92 MEADOW ST
Second Line :
City : WESTFIELD
State : MA
Zip : 01085-3238
Country : US
Telephone Number : 207-376-7779
Fax Number :
Provider Business Practice Location Address
First Line : 421 N MAIN ST BLDG 9A
Second Line :
City : LEEDS
State : MA
Zip : 01053-9764
Country : US
Telephone Number : 413-686-6968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2025
Last Update Date : 03/10/2026

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