Provider Demographics
NPI:1083761373
Name:BAGNAL, MARGARET LEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:LEE
Last Name:BAGNAL
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 1:360 AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19311-9382
Mailing Address - Country:US
Mailing Address - Phone:610-268-1382
Mailing Address - Fax:
Practice Address - Street 1:102 E STATE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-3110
Practice Address - Country:US
Practice Address - Phone:610-444-9494
Practice Address - Fax:610-444-9655
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045663001041C0700X
PACW0147821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical