Provider Demographics
NPI:1073228516
Name:WOTHERSPOON, MARGARET S (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:S
Last Name:WOTHERSPOON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2356 E TUCKER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-2346
Mailing Address - Country:US
Mailing Address - Phone:609-972-5918
Mailing Address - Fax:
Practice Address - Street 1:115 E 5TH ST
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:NJ
Practice Address - Zip Code:08065-2622
Practice Address - Country:US
Practice Address - Phone:609-880-5353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053031001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical