Healthcare Provider Details

I. General information

NPI: 1366762007
Provider Name (Legal Business Name): REBECCA MARGALIOT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2010
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 ROCKSIDE RD STE 135
INDEPENDENCE OH
44131-2171
US

IV. Provider business mailing address

275 NORTH STREET
HARRISON NY
10528
US

V. Phone/Fax

Practice location:
  • Phone: 330-518-8334
  • Fax:
Mailing address:
  • Phone: 914-925-5211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6899750
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: