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NPI Code Detail

MEDICARE: MARGOT MEITNER LCSW, LICSW

MEDICARE: MARGOT MEITNER LCSW, LICSW
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
11041C0700XClinical Social Worker23618CA
21041C0700XClinical Social Worker114715MA

General Provider Information

NPI Number : 1932286630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGOT MEITNER LCSW, LICSW
Provider Business Mailing Address
First Line : 33 SOUTH DR
Second Line :
City : GREAT NECK
State : NY
Zip : 11021-1959
Country : US
Telephone Number : 617-499-7944
Fax Number : 617-499-7944
Provider Business Practice Location Address
First Line : 124 HARVARD ST
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-6478
Country : US
Telephone Number : 617-499-7944
Fax Number : 617-499-7944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 11/26/2008

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