Provider Demographics
NPI:1326763426
Name:STEVENSON, MARGARET LANGLOIS (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LANGLOIS
Last Name:STEVENSON
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 1:2330 22ND ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-4280
Mailing Address - Country:US
Mailing Address - Phone:509-202-7206
Mailing Address - Fax:
Practice Address - Street 1:2330 22ND ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-4280
Practice Address - Country:US
Practice Address - Phone:509-202-7206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA613142831041C0700X
COCSW.099285171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical