Provider Demographics
NPI:1083761589
Name:CONTILLO, MARGARET (LCSW ACSW SAC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:CONTILLO
Suffix:
Gender:F
Credentials:LCSW ACSW SAC
Other - Prefix:
Other - First Name:PEGIE
Other - Middle Name:
Other - Last Name:CONTILLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:222 KINDERKAMACK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649
Mailing Address - Country:US
Mailing Address - Phone:201-262-3228
Mailing Address - Fax:
Practice Address - Street 1:222 KINDERKAMACK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649
Practice Address - Country:US
Practice Address - Phone:201-262-3228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44S0044078001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical