Healthcare Provider Details

I. General information

NPI: 1063463990
Provider Name (Legal Business Name): MARGARET CLARE FOLEY M.S.W., L.I.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGIE FOLEY M.S.W., L.I.S.W.

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 W FRANKLIN ST
BELLBROOK OH
45305-1903
US

IV. Provider business mailing address

PO BOX 248
BELLBROOK OH
45305-0248
US

V. Phone/Fax

Practice location:
  • Phone: 937-848-9006
  • Fax: 937-848-9006
Mailing address:
  • Phone: 937-848-9006
  • Fax: 937-848-9006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI0006007
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: