Provider Demographics
NPI:1003435249
Name:NEALON, MARGARET ANNE (MSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:NEALON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1561 N 120TH ST
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3107
Mailing Address - Country:US
Mailing Address - Phone:414-881-7828
Mailing Address - Fax:
Practice Address - Street 1:1561 N 120TH ST
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-3107
Practice Address - Country:US
Practice Address - Phone:414-881-7828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI126814-121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker