Provider Demographics
NPI:1033225362
Name:SPENCER PIRROTTA, MARGARET M (LMSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:SPENCER PIRROTTA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2149 JOLLY RD
Mailing Address - Street 2:STE 500
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-6028
Mailing Address - Country:US
Mailing Address - Phone:517-347-4645
Mailing Address - Fax:517-347-4644
Practice Address - Street 1:2289 SOWER BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3297
Practice Address - Country:US
Practice Address - Phone:517-347-4645
Practice Address - Fax:517-347-4644
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801068990104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker