Provider Demographics
NPI:1235159880
Name:WOOD, MARGUERITE (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARGUERITE
Middle Name:
Last Name:WOOD
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 1:80 WASHINGTON ST STE O53
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1747
Mailing Address - Country:US
Mailing Address - Phone:781-421-3350
Mailing Address - Fax:781-421-3352
Practice Address - Street 1:80 WASHINGTON ST STE O53
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1747
Practice Address - Country:US
Practice Address - Phone:781-421-3350
Practice Address - Fax:781-421-3352
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1074351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP23973Medicare ID - Type Unspecified