Meghan Marie Lally, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105328 Issued in CA

Practice address

4141 Pacific Hwy
San Diego, CA 92110-2030

Phone

(619) 393-2090

NPI assigned

Nov 15, 2021

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vietnam Veterans of San Diego

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1396873451
  NPD (past)

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1265198139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 PACIFIC HWY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102030",
            "telephone_number": "619-393-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 PACIFIC HWY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102030",
            "telephone_number": "619-393-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLY",
        "first_name": "MEGHAN",
        "middle_name": "MARIE",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "105328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE CLINICAL SOCIAL WORKER",
            "identifier": "105328",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gautam G Lalani, MD
• Michael J. Lalich, MD
• Susan E Lalicker, ATC
• Andrea Laliena
• Arya Lalithakumari
• Paul Michael Lally, PT, DPT
• Kyri Laltoo
• Parkash Gabriel Lalwani
• Alan Stephen Lam, M.D.
• Alison C Lam, MD

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.