Provider Demographics
NPI:1003814724
Name:FORGEY, MARGARET T (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:T
Last Name:FORGEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4533 E COOPER ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-4237
Mailing Address - Country:US
Mailing Address - Phone:520-207-4823
Mailing Address - Fax:520-327-6724
Practice Address - Street 1:4533 E COOPER ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-4237
Practice Address - Country:US
Practice Address - Phone:520-207-4823
Practice Address - Fax:520-327-6724
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-00241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ54454OtherUNITED BEHAVIORAL HEALTH
AZ298625OtherMHN
AZ353209000OtherMAGELLAN
AZ639693Medicaid
AZ80TAAMedicare ID - Type UnspecifiedMEDICARE