Provider Demographics
NPI:1013001023
Name:ARDIZZI, MARGARET LOUISE (LSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LOUISE
Last Name:ARDIZZI
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 RUTGERS AVE
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-1731
Mailing Address - Country:US
Mailing Address - Phone:610-202-6379
Mailing Address - Fax:
Practice Address - Street 1:107 RUTGERS AVE
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-1731
Practice Address - Country:US
Practice Address - Phone:610-202-6379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011851L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker