Individual
ANNE MARGOLIS
Active
Individual
ANNE MARGOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
071132
NY
1041C0700X
Clinical Social Worker
Primary
077127
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID #
NY
01
—
071132
NYS LICENSE
NY
01
—
1285628552
AGENCY NPI #
NY
Enumeration date
05/09/2007
Last updated
12/02/2009
Update your record
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