Megan L Axley, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60198989 Issued in WA

Practice address

4526 Federal Ave
Ms 40
Everett, WA 98203

Phone

(425) 349-8153

Fax

(425) 349-8304

NPI assigned

Mar 21, 2007

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

Other names 1

• Megan Lorene Boyle 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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1700901220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 FEDERAL AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 FEDERAL AVE",
            "address_2": "MS 40",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98203",
            "telephone_number": "425-349-8153",
            "fax_number": "425-349-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXLEY",
        "first_name": "MEGAN",
        "middle_name": "L",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60198989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309161",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BOYLE",
            "middle_name": "LORENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen C Austin, PHARMD, BCPS BC-ADM
• Stuart M Austin, PA-C
• Alessandra S Avalos, SUDPT
• Beth D. Aversa, ARNP
• Randall Gene Avila
• Roberto Montiel Ayala, CPC
• Kathleen Mary Aycock, ARNP, NNP
• John Richard Ayres, D.C., D.A.B.C.O.
• Keith Ayson
• Lauryl Azure

• Clinical Social Worker in Everett, WA
• Providers in Everett, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.