Provider Demographics
NPI:1164515862
Name:HOLLAND, MARGARET SMITH (MSW, CSAC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:SMITH
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:MSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21844
Mailing Address - Street 2:P. O. BOX 21844
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0186
Mailing Address - Country:US
Mailing Address - Phone:540-774-4205
Mailing Address - Fax:540-774-3080
Practice Address - Street 1:3214 ELECTRIC RD
Practice Address - Street 2:STE 207
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-6443
Practice Address - Country:US
Practice Address - Phone:540-774-4205
Practice Address - Fax:540-774-3080
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040039691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical