Individual provider Active NPI

Maegan Garrett, LICSW

  • Clinical Social Worker
  • Fairfax, VT
National Provider Identifier
1104226695
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0091668 Issued in VT
Practice address
58 Upper Meadow Rd
Fairfax, VT 05454-4418
Phone
(802) 242-2704
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089-0091668 VT Primary

Addresses

Primary practice location

58 Upper Meadow Rd
Fairfax, VT 05454-4418

Mailing address

58 Upper Meadow Rd
Fairfax, VT 05454-4418
Phone (802) 242-2704

Other names 1

  • Maegan Rogow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017000023 VT Practitioner - Clinical Social Worker 9931320769 Reassigns benefits to 1 organization
Practice locations: Fairfax, VT; Saint Albans, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0091668VTMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1104226695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 UPPER MEADOW RD",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054544418",
            "telephone_number": "802-242-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 UPPER MEADOW RD",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054544418",
            "telephone_number": "802-242-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "MAEGAN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0091668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAEGAN",
            "last_name": "ROGOW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VT

Sources for this page

Verify at the official NPI Registry.