MEDICARE: MARGUERITE FALCON LCSW-C

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
2	1041C0700X	Clinical Social Worker	10263	MD

General Provider Information

NPI Number	:	1891455622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGUERITE FALCON LCSW-C

Provider Business Mailing Address
First Line	:	3375 ELLICOTT CENTER DR UNIT 2293
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21041-7564
Country	:	US
Telephone Number	:	410-404-8894
Fax Number	:

Provider Business Practice Location Address
First Line	:	3375 ELLICOTT CENTER DR UNIT 2293
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21041-7564
Country	:	US
Telephone Number	:	410-404-8894
Fax Number	:

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

Provider Enumeration Date	:	12/21/2021
Last Update Date	:	07/17/2023

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