Provider Demographics
NPI:1164560603
Name:MARGULIES, LIZA WALLIS (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:LIZA
Middle Name:WALLIS
Last Name:MARGULIES
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2710
Mailing Address - Country:US
Mailing Address - Phone:914-420-2380
Mailing Address - Fax:
Practice Address - Street 1:36 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-2710
Practice Address - Country:US
Practice Address - Phone:914-420-2380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR032051-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical