MEDICARE: MARGO ENGLISH, LCSW, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	11103	FL

General Provider Information

NPI Number	:	1487691762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGO ENGLISH, LCSW, LLC

Provider Business Mailing Address
First Line	:	15080 ESTUARY CIR
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34135-8654
Country	:	US
Telephone Number	:	732-642-5149
Fax Number	:

Provider Business Practice Location Address
First Line	:	15080 ESTUARY CIR
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34135-8654
Country	:	US
Telephone Number	:	732-642-5149
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	MS. MARGO M. ENGLISH
Credential	:	LCSW
Telephone Number	:	732-642-5149

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	05/04/2017

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