Provider Demographics
NPI:1164566493
Name:KAUFMAN, MARGARET H (MSW, MED)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:H
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:MSW, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CLYDE ST
Mailing Address - Street 2:
Mailing Address - City:NEWTONVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02460-2209
Mailing Address - Country:US
Mailing Address - Phone:617-964-7419
Mailing Address - Fax:617-969-2906
Practice Address - Street 1:398 WOLCOTT ST
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-1533
Practice Address - Country:US
Practice Address - Phone:617-964-7419
Practice Address - Fax:617-969-2906
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10249891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1024989OtherNASW LICENSE NUMBER
MA8570OtherBLUE CROSS BLUE SHIELD
MA8570OtherBLUE CROSS BLUE SHIELD