Provider Demographics
NPI:1497204309
Name:MCCABE, MEGAN (LCSW, CASAC MASTER)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MCCABE
Suffix:
Gender:F
Credentials:LCSW, CASAC MASTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 N BEDFORD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-2555
Mailing Address - Country:US
Mailing Address - Phone:914-200-3698
Mailing Address - Fax:
Practice Address - Street 1:118 N BEDFORD RD STE 100
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-2555
Practice Address - Country:US
Practice Address - Phone:914-200-3698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0956801041C0700X
NY32044101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01420795Medicaid