Provider Demographics
NPI:1225058118
Name:WILLIAMS, MARGARET LARSH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LARSH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:PEGGY
Other - Middle Name:LARSH
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:3102 S CHURCH ST
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-9199
Mailing Address - Country:US
Mailing Address - Phone:336-585-1737
Mailing Address - Fax:336-524-9540
Practice Address - Street 1:3102 S CHURCH ST
Practice Address - Street 2:SUITE 102A
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-9199
Practice Address - Country:US
Practice Address - Phone:336-585-1737
Practice Address - Fax:336-524-9540
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0041321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003156Medicaid