MEDICARE: MARGARET ANN HARGIS 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	101YM0800X	Mental Health Counselor	34002238A	IN
2	1041C0700X	Clinical Social Worker	34002238A	IN

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

General Provider Information

NPI Number	:	1932154184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET ANN HARGIS LCSW

Provider Business Mailing Address
First Line	:	7740 CARDINAL CV N
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-4633
Country	:	US
Telephone Number	:	317-849-8738
Fax Number	:

Provider Business Practice Location Address
First Line	:	7740 CARDINAL CV N
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-4633
Country	:	US
Telephone Number	:	317-849-8738
Fax Number	:

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	03/20/2017

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