Provider Demographics
NPI:1336301555
Name:KEYS, MARGOT TROUTT (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGOT
Middle Name:TROUTT
Last Name:KEYS
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 1:209 N 4TH ST
Mailing Address - Street 2:C-1
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-1855
Mailing Address - Country:US
Mailing Address - Phone:215-756-3979
Mailing Address - Fax:
Practice Address - Street 1:209 N 4TH ST
Practice Address - Street 2:C-1
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-1855
Practice Address - Country:US
Practice Address - Phone:215-756-3979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-29
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0159001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical