MEDICARE: MEGHAN KEATING MSW, LICSW

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	1041C0700X	Clinical Social Worker	32200	MN

General Provider Information

NPI Number	:	1942138615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN KEATING MSW, LICSW

Provider Business Mailing Address
First Line	:	15318 JEFFERS PASS NW
Second Line	:
City	:	PRIOR LAKE
State	:	MN
Zip	:	55372-3614
Country	:	US
Telephone Number	:	952-270-4724
Fax Number	:

Provider Business Practice Location Address
First Line	:	3464 WASHINGTON DR
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55122-1453
Country	:	US
Telephone Number	:	651-348-8551
Fax Number	:	651-409-2029

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

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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