Provider Demographics
NPI:1053509521
Name:WALDEN, MARGARET ANNE (LCSW, ATR)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:WALDEN
Suffix:
Gender:F
Credentials:LCSW, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 E MINGUS AVE APT 1043
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-3784
Mailing Address - Country:US
Mailing Address - Phone:928-399-0608
Mailing Address - Fax:
Practice Address - Street 1:751 E ASPEN ST
Practice Address - Street 2:SUITE L
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4297
Practice Address - Country:US
Practice Address - Phone:928-399-0608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW123251041C0700X
GACSW0029881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical