Provider Demographics
NPI:1154484947
Name:LOVELACE, MARGARET L (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:L
Last Name:LOVELACE
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 1:224 E WILLAMETTE AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1114
Mailing Address - Country:US
Mailing Address - Phone:719-448-9464
Mailing Address - Fax:719-448-9467
Practice Address - Street 1:224 E WILLAMETTE AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1114
Practice Address - Country:US
Practice Address - Phone:719-448-9464
Practice Address - Fax:719-448-9467
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9898441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical