Individual provider Active NPI

Megan M Outlaw, LCSW

  • Clinical Social Worker
  • Montrose, CO
National Provider Identifier
1457630477
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926297 Issued in CO
Practice address
605 Miami Rd
Montrose, CO 81401-4108
Phone
(970) 249-9694
NPI assigned
Aug 8, 2011
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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 CSW.09926297 CO Primary

Addresses

Primary practice location

605 Miami Rd
Montrose, CO 81401-4108

Mailing address

605 Miami Rd
Montrose, CO 81401-4108
Phone (970) 249-9694

Other practice location 1

8306 Anglers Pointe Dr
Temple Terrace, FL 33637-1828
Phone (813) 528-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200129000671 CO Practitioner - Clinical Social Worker 4880020536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Treatment Centers, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

1230 N Grand Ave
Montrose, CO 81401
Phone (970) 466-5100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1457630477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MIAMI RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014108",
            "telephone_number": "970-249-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MIAMI RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014108",
            "telephone_number": "970-249-9694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8306 Anglers Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336371828",
            "country_code": "US",
            "telephone_number": "813-528-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUTLAW",
        "first_name": "MEGAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.