Healthcare Provider Details

I. General information

NPI: 1699595322
Provider Name (Legal Business Name): CATHERINE MARIE MARGE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2024
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 CHAPMAN RD
NEWARK DE
19702-5499
US

IV. Provider business mailing address

118 WASHINGTON AVE
ELSMERE DE
19805-1341
US

V. Phone/Fax

Practice location:
  • Phone: 302-292-1334
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberQ3-0011444
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: