Provider Demographics
NPI:1225211790
Name:WEIKLE, MARGARET T (LMSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:T
Last Name:WEIKLE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1711
Mailing Address - Country:US
Mailing Address - Phone:716-853-4424
Mailing Address - Fax:716-332-2820
Practice Address - Street 1:359 GRIDER ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3016
Practice Address - Country:US
Practice Address - Phone:716-895-7715
Practice Address - Fax:716-895-1544
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00075933104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000506354004OtherBLUE CROSS OF WNY
NY11520AMedicare PIN