Healthcare Provider Details

I. General information

NPI: 1033095559
Provider Name (Legal Business Name): MARGARET OLIVIA COTTON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 S SALINA ST APT 4T
SYRACUSE NY
13202-1664
US

IV. Provider business mailing address

304 S SALINA ST APT 4T
SYRACUSE NY
13202-1664
US

V. Phone/Fax

Practice location:
  • Phone: 910-853-1639
  • Fax:
Mailing address:
  • Phone: 910-853-1639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number133025-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: