Provider Demographics
NPI:1154658359
Name:MAGINN, MARGARET MARIA (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARIA
Last Name:MAGINN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MEG
Other - Middle Name:MARIA
Other - Last Name:MAGINN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:111 SMITHTOWN BY PASS
Mailing Address - Street 2:SUITE 115
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788
Mailing Address - Country:US
Mailing Address - Phone:631-724-7152
Mailing Address - Fax:631-724-7193
Practice Address - Street 1:111 SMITHTOWN BY PASS
Practice Address - Street 2:SUITE 115
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788
Practice Address - Country:US
Practice Address - Phone:631-724-7152
Practice Address - Fax:631-724-7193
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR043736-21041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical