Individual provider Active NPI

Maygan Michele Hull Klug, LCSW, LISW

  • Clinical Social Worker
  • Davenport, IA
National Provider Identifier
1942739925
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090658 Issued in IA
Practice address
2010 E 38TH St Ste 205
Davenport, IA 52807-1179
Phone
(319) 800-5564
Fax
(563) 551-6464
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.019983 IL
Clinical Social Worker 1041C0700X 090658 IA Primary

Addresses

Primary practice location

2010 E 38TH St Ste 205
Davenport, IA 52807-1179

Mailing address

200 Park Ave
Bettendorf, IA 52722-5674
Phone (563) 650-7136

Other names 1

  • Maygan Michele Hull Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.019983ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Centered Counseling Services, LLC. PastSince Apr 14, 2024 Accepting new patients
Green Counseling Services PLLC PastSince Feb 23, 2025 Accepting new patients

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1942739925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PARK AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527225674",
            "telephone_number": "563-650-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 38TH ST STE 205",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071179",
            "telephone_number": "319-800-5564",
            "fax_number": "563-551-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUG",
        "first_name": "MAYGAN",
        "middle_name": "MICHELE HULL",
        "credential": "LCSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019983",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "090658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYGAN",
            "last_name": "HULL",
            "middle_name": "MICHELE",
            "credential": "LCSW, LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.