Individual
MS. ELLEN SHARON MARGOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
240 LUTHER ST S, SALEM, OR 97302-5217
(503) 361-7797
(503) 361-7713
Mailing address
240 LUTHER ST S, SALEM, OR 97302-5217
(503) 361-7797
(503) 361-7713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1328
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01686
KAISER PERMANENTE
OR
01
—
084686000
REGENCE BCBS
OR
01
—
272919100000
LIFEWISE
OR
Enumeration date
11/28/2005
Last updated
10/27/2023
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