Provider Demographics
NPI:1124555081
Name:COLTON, MARAGERET JOYCE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARAGERET
Middle Name:JOYCE
Last Name:COLTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:JOYCE
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:10007 S MAPLEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-5506
Mailing Address - Country:US
Mailing Address - Phone:918-381-8757
Mailing Address - Fax:
Practice Address - Street 1:10007 S MAPLEWOOD PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-5506
Practice Address - Country:US
Practice Address - Phone:918-381-8757
Practice Address - Fax:918-381-8757
Is Sole Proprietor?:No
Enumeration Date:2017-05-22
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK17001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1700OtherLICENSED CLINICAL SOCIAL WORKER