MEDICARE: MARGARET TWORKOWSKI 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	SW13034	FL

General Provider Information

NPI Number	:	1851846711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET TWORKOWSKI LCSW

Provider Business Mailing Address
First Line	:	2090 BARRACUDA AVE
Second Line	:
City	:	MELBOURNE BEACH
State	:	FL
Zip	:	32951-2908
Country	:	US
Telephone Number	:	321-537-1498
Fax Number	:

Provider Business Practice Location Address
First Line	:	2090 BARRACUDA AVE
Second Line	:
City	:	MELBOURNE BEACH
State	:	FL
Zip	:	32951-2908
Country	:	US
Telephone Number	:	321-537-1498
Fax Number	:

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

Provider Enumeration Date	:	08/22/2016
Last Update Date	:	08/22/2016

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