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NPI Code Detail

MEDICARE: MRS. MEGAN GIPSON LCSW

MEDICARE: MRS. MEGAN GIPSON 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 Worker113295MA
21041C0700XClinical Social Worker69447TX

General Provider Information

NPI Number : 1982711644
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN GIPSON LCSW
Provider Business Mailing Address
First Line : 300 BEARDSLEY LN BLDG E
Second Line :
City : AUSTIN
State : TX
Zip : 78746-4954
Country : US
Telephone Number : 512-523-5758
Fax Number :
Provider Business Practice Location Address
First Line : 300 BEARDSLEY LN BLDG E
Second Line :
City : AUSTIN
State : TX
Zip : 78746-4954
Country : US
Telephone Number : 978-356-1776
Fax Number : 978-356-2822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 10/13/2023

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Directions to “ MRS. MEGAN GIPSON LCSW” Practice Location

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