Provider Demographics
NPI:1114500824
Name:MARGOLIN, MELISSA L (LCSW)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:L
Last Name:MARGOLIN
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 1:41 HEROS WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-0145
Mailing Address - Country:US
Mailing Address - Phone:828-436-2200
Mailing Address - Fax:877-712-4959
Practice Address - Street 1:41 HEROS WAY
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-0145
Practice Address - Country:US
Practice Address - Phone:828-436-2200
Practice Address - Fax:877-712-4959
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0128781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC012878OtherNORTH CAROLINA STATE LICENSE NUMBER