MEDICARE: DR. MARGARET SOUZA 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	R021768-1	NY

General Provider Information

NPI Number	:	1699989111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET SOUZA LCSW

Provider Business Mailing Address
First Line	:	222 W 14TH ST
Second Line	:	APT 6K
City	:	NEW YORK
State	:	NY
Zip	:	10011-7208
Country	:	US
Telephone Number	:	718-436-8534
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 COURT ST. SUITE 602 11242-1112
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11242
Country	:	US
Telephone Number	:	347-596-4267
Fax Number	:

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	12/24/2016

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