Healthcare Provider Details

I. General information

NPI: 1407926462
Provider Name (Legal Business Name): PATRICIA SEESE MARGOLIN PHD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA L SEESE PHD LCSW

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 SPRING VALLEY RD
PARAMUS NJ
07652-5647
US

IV. Provider business mailing address

551 SPRING VALLEY RD
PARAMUS NJ
07652-5647
US

V. Phone/Fax

Practice location:
  • Phone: 201-262-3284
  • Fax: 201-262-1163
Mailing address:
  • Phone: 201-262-3284
  • Fax: 201-262-1163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPR0158741
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC00352400
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier169287
Identifier TypeOTHER
Identifier State
Identifier IssuerHEALTHNET
# 2
IdentifierP1119863
Identifier TypeOTHER
Identifier State
Identifier IssuerOXFORD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: