Provider Demographics
NPI:1245215482
Name:STEPHENSON, MARGARET ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:STEPHENSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SHORE LAKE DR APT C
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1451
Mailing Address - Country:US
Mailing Address - Phone:336-337-5498
Mailing Address - Fax:
Practice Address - Street 1:110 SHORE LAKE DR APT C
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-1451
Practice Address - Country:US
Practice Address - Phone:336-337-5498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0050501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC182964OtherMEDCOST PREFERRED
NC6003619Medicaid
NC141GUOtherBLUE CROSS/BLUE SHIELD
NC6003619Medicaid