Provider Demographics
NPI:1265635668
Name:TEEHAN, MARGARET BETH (MSW, LICSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:BETH
Last Name:TEEHAN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 LENOX AVE
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-3921
Mailing Address - Country:US
Mailing Address - Phone:631-880-2505
Mailing Address - Fax:
Practice Address - Street 1:70 LENOX AVE
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-3921
Practice Address - Country:US
Practice Address - Phone:631-880-2505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker