Provider Demographics
NPI:1225733397
Name:LUKE, MARGARET MARIE (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARIE
Last Name:LUKE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:CT
Mailing Address - Zip Code:06418-1326
Mailing Address - Country:US
Mailing Address - Phone:203-538-6244
Mailing Address - Fax:203-732-1529
Practice Address - Street 1:10 PROGRESS DR STE 2
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6294
Practice Address - Country:US
Practice Address - Phone:203-538-6244
Practice Address - Fax:203-732-1529
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7008104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker