Individual provider Active NPI

Megan Rae Garza, LCSW

  • Clinical Social Worker
  • Burlington, WY
National Provider Identifier
1588029136
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1334 Issued in WY
Practice address
710 Lane 39
Burlington, WY 82411-9739
Phone
(623) 688-7900
NPI assigned
Dec 28, 2015
Reactivated
Aug 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20673 AZ
Clinical Social Worker 1041C0700X 113936 TX
Clinical Social Worker 1041C0700X 6801118849 MI
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1334 WY Primary

Addresses

Primary practice location

710 Lane 39
Burlington, WY 82411-9739

Mailing address

PO Box 152
Burlington, WY 82411-0152
Phone (623) 688-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MI, TX, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20211228002070 WY Practitioner - Clinical Social Worker 9234520347 Reassigns benefits to 1 organization
I20250716003090 MI Practitioner - Clinical Social Worker 9234520347 Reassigns benefits to 1 organization
I20250722002806 TX Practitioner - Clinical Social Worker 9234520347 Reassigns benefits to 1 organization
I20250725001579 AZ Practitioner - Clinical Social Worker 9234520347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20673AZMDClinical Social Worker
6801118849MIMDClinical Social Worker
1334WYMDClinical Social Worker
113936TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA Single Specialty CurrentSince Dec 19, 2024 Accepting new patients
Talkspace Provider Network Mi, PC Single Specialty CurrentSince May 12, 2025 Accepting new patients

Locations

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Interoperability endpoints

  • Direct secure messaging: megan.garza.1@16708.direct.athenahealth.com

Organizations & group practices 2

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": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1588029136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "BURLINGTON",
            "state": "WY",
            "postal_code": "824110152",
            "telephone_number": "623-688-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LANE 39",
            "city": "BURLINGTON",
            "state": "WY",
            "postal_code": "824119739",
            "telephone_number": "623-688-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "MEGAN",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "deactivation_date": "2018-05-17",
        "reactivation_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "20673",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "113936",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118849",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "1334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WY

Sources for this page

Verify at the official NPI Registry.