Provider Demographics
NPI:1003986126
Name:SHLASKO, MARGARET MARTHA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARTHA
Last Name:SHLASKO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:120 LEE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-7719
Mailing Address - Country:US
Mailing Address - Phone:845-340-4167
Mailing Address - Fax:845-340-4094
Practice Address - Street 1:239 GOLDEN HILL LN
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-6441
Practice Address - Country:US
Practice Address - Phone:845-340-4167
Practice Address - Fax:845-340-4094
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR044989-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN4H191Medicare ID - Type UnspecifiedMEDICARE