Individual provider Active NPI

Megan Hickey Lait, LCSW

  • Clinical Social Worker
  • Menlo Park, CA
National Provider Identifier
1114040177
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27676 Issued in CA
Practice address
830 Menlo Ave Ste 200
Menlo Park, CA 94025-4734
Phone
(650) 275-4577
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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 27676 CA Primary

Addresses

Primary practice location

830 Menlo Ave Ste 200
Menlo Park, CA 94025-4734

Mailing address

830 Menlo Ave Ste 200
Menlo Park, CA 94025-4734
Phone (650) 275-4577

Other identifiers 1

IdentifierTypeStateIssuer
1114040177OtherCANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL meganlait.com Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27676CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center Past Accepting new patients

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1114040177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 MENLO AVE STE 200",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254734",
            "telephone_number": "650-275-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MENLO AVE STE 200",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254734",
            "telephone_number": "650-275-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIT",
        "first_name": "MEGAN",
        "middle_name": "HICKEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114040177",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "meganlait.com",
            "affiliation": "N",
            "endpointDescription": "Business Homepage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Private Practice",
            "address_1": "830 Menlo Ave Ste 200",
            "city": "Menlo Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940254734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.