MEDICARE: MARGARET WAGNER UNDERWOOD LCPC

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	101YP2500X	Professional Counselor	LC5740	MD
2	101YP2500X	Professional Counselor	5123	CO

General Provider Information

NPI Number	:	1932332095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET WAGNER UNDERWOOD LCPC

Provider Business Mailing Address
First Line	:	263 W. PATRICK ST.
Second Line	:	MAILBOX #6
City	:	FREDERICK
State	:	MD
Zip	:	21701
Country	:	US
Telephone Number	:	240-712-4215
Fax Number	:

Provider Business Practice Location Address
First Line	:	263 W. PATRICK ST.
Second Line	:	MAILBOX #2
City	:	FREDERICK
State	:	MD
Zip	:	21701
Country	:	US
Telephone Number	:	240-712-4215
Fax Number	:

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

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	02/12/2026

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