Provider Demographics
NPI:1154643633
Name:MCGUIRE, MARGARET ELLEN (LCSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ELLEN
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:DR
Other - First Name:ELLEN
Other - Middle Name:
Other - Last Name:MCGUIRE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, PHD
Mailing Address - Street 1:246 PROSPECT PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-3901
Mailing Address - Country:US
Mailing Address - Phone:212-260-3659
Mailing Address - Fax:
Practice Address - Street 1:29 5TH AVE
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4337
Practice Address - Country:US
Practice Address - Phone:212-260-3659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
102L00000X
NYR0407451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst