MEDICARE: MRS. MARGARITA KUSHNER LCSW

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	095146	NY

General Provider Information

NPI Number	:	1538701396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARITA KUSHNER LCSW

Provider Business Mailing Address
First Line	:	242 MAIN ST # 256
Second Line	:
City	:	BEACON
State	:	NY
Zip	:	12508-2732
Country	:	US
Telephone Number	:	845-853-0240
Fax Number	:

Provider Business Practice Location Address
First Line	:	242 MAIN ST # 256
Second Line	:
City	:	BEACON
State	:	NY
Zip	:	12508-2732
Country	:	US
Telephone Number	:	845-853-0240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2019
Last Update Date	:	04/30/2023

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