Provider Demographics
NPI:1033624291
Name:MARGOLIES, MARWIN Y (LCSW)
Entity Type:Individual
Prefix:
First Name:MARWIN
Middle Name:Y
Last Name:MARGOLIES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:MARWIN
Other - Middle Name:YR
Other - Last Name:MARGOLIES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1315 WALNUT ST STE 1700
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4717
Mailing Address - Country:US
Mailing Address - Phone:267-362-9313
Mailing Address - Fax:
Practice Address - Street 1:1315 WALNUT ST STE 1700
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4717
Practice Address - Country:US
Practice Address - Phone:267-362-9313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0211631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ44SC06134100OtherSTATE BOARD OF SOCIAL WORK EXAMINERS
MELC22939OtherSTATE BOARD OF SOCIAL WORK LICENSURE
PACW021163OtherSTATE BOARD OF SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS AND PROFESSIONAL C