MEDICARE: DR. MARGARETTE MAHOTIERE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW23041	FL
2	1041C0700X	Clinical Social Worker	113619	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710720909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARETTE MAHOTIERE LCSW

Provider Business Mailing Address
First Line	:	11821 EAST FWY STE 320
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-1975
Country	:	US
Telephone Number	:	713-543-0904
Fax Number	:	813-804-9553

Provider Business Practice Location Address
First Line	:	11821 EAST FWY STE 320
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-1975
Country	:	US
Telephone Number	:	713-543-0904
Fax Number	:	813-804-9553

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2024
Last Update Date	:	04/29/2025

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