Provider Demographics
NPI:1326622812
Name:BENDER, MARGARET H (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:H
Last Name:BENDER
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 1:100 MARIN CENTER DR APT 69
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-2716
Mailing Address - Country:US
Mailing Address - Phone:847-971-4831
Mailing Address - Fax:
Practice Address - Street 1:100 MARIN CENTER DRIVE
Practice Address - Street 2:APT 69
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-9490
Practice Address - Country:US
Practice Address - Phone:847-971-4831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1013461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical