MEDICARE: MRS. MARGRETTA F AUSTIN 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	0904014019	VA

General Provider Information

NPI Number	:	1750029070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGRETTA F AUSTIN LCSW

Provider Business Mailing Address
First Line	:	2716 BERNADOTTE ST
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-6518
Country	:	US
Telephone Number	:	757-232-9842
Fax Number	:	757-689-8715

Provider Business Practice Location Address
First Line	:	1248 GUNN HALL DR STE 102
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-5757
Country	:	US
Telephone Number	:	757-232-9842
Fax Number	:	757-716-2120

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

Provider Enumeration Date	:	05/25/2022
Last Update Date	:	07/02/2025

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