Megan Mansavage, MSW, LICSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24318 Issued in MN

Practice address

1741 15TH St NW
Bemidji, MN 56601-8755

Phone

(218) 751-6553

Fax

(218) 751-1846

NPI assigned

Jul 11, 2023

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Megan Krey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1225716970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45568 US 71",
            "city": "LAPORTE",
            "state": "MN",
            "postal_code": "56461",
            "telephone_number": "651-408-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 15TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566018755",
            "telephone_number": "218-751-6553",
            "fax_number": "218-751-1846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26246 Crane Rd",
            "address_purpose": "LOCATION",
            "city": "White Earth",
            "state": "MN",
            "postal_code": "565919998",
            "country_code": "US",
            "telephone_number": "218-983-4703",
            "fax_number": "218-983-3289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSAVAGE",
        "first_name": "MEGAN",
        "credential": "MSW, LICSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Patrick Madigan, LADC
• Shelly Marie Mahowald, FNP-C
• Jenna Mahs, D.C.
• Mohamed Manaa, MD
• Sebastian R. Mangiamele, M.D.
• Mouhamad Mansour, M.D.
• Amanda Lynn Manteufel, LSW
• Patricia Kay Mapes, PHYSICAL THERAPIST
• Marci L Maple, NP
• Brianna Marsh, CNP

• Clinical Social Worker in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.