Provider Demographics
NPI:1063908721
Name:COX, MEGAN CAREFOOT (LCSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:CAREFOOT
Last Name:COX
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5843 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2348
Mailing Address - Country:US
Mailing Address - Phone:727-326-2563
Mailing Address - Fax:
Practice Address - Street 1:5404 HOOVER BLVD STE 15
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-5351
Practice Address - Country:US
Practice Address - Phone:813-288-9111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-06
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16799101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
16799OtherFL DEPT OF HEALTH