Healthcare Provider Details

I. General information

NPI: 1790853984
Provider Name (Legal Business Name): MARGARET HOWARD PRIEST LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 04/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 W POPLAR AVE
COLLIERVILLE TN
38017-4047
US

IV. Provider business mailing address

591 VAUGHN
MEMPHIS TN
38122-3929
US

V. Phone/Fax

Practice location:
  • Phone: 901-861-8139
  • Fax: 901-861-8141
Mailing address:
  • Phone: 901-323-1504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberTN840
License Number StateTN

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: