=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750029070
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGRETTA F AUSTIN LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/25/2022
-----------------------------------------------------
Last Update Date | 07/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1248 GUNN HALL DR STE 102
-----------------------------------------------------
City | VIRGINIA BEACH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23454-5757
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-232-9842
-----------------------------------------------------
Fax | 757-716-2120
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2716 BERNADOTTE ST
-----------------------------------------------------
City | VIRGINIA BEACH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23456-6518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-232-9842
-----------------------------------------------------
Fax | 757-689-8715
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 0904014019
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------