Megan Brenner, LCSW

Individual provider Active NPI Clinical Social Worker · Mahopac, NY

NPI 1003584939 · NPPES record last updated Sep 3, 2021

Key facts

NPI
1003584939
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
090977 (NY)
Practice address
10 McMahon PL
Mahopac, NY 10541-1700
Phone
(914) 760-9284
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
090977NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 090977 NY Yes

Addresses

Primary practice location

10 McMahon PL
Mahopac, NY 10541-1700

Mailing address

223 Center Dr
Mahopac, NY 10541-1109

Other practice location 1

10 McMahon Pl
Mahopac, NY 10541-1700
Phone (914) 760-9284

Other providers in Mahopac, NY

All providers in Mahopac, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.