Provider Demographics
NPI:1407926462
Name:SEESE MARGOLIN, PATRICIA (PHD LCSW)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:SEESE MARGOLIN
Suffix:
Gender:F
Credentials:PHD LCSW
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:L
Other - Last Name:SEESE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD LCSW
Mailing Address - Street 1:551 SPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5647
Mailing Address - Country:US
Mailing Address - Phone:201-262-3284
Mailing Address - Fax:201-262-1163
Practice Address - Street 1:551 SPRING VALLEY RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5647
Practice Address - Country:US
Practice Address - Phone:201-262-3284
Practice Address - Fax:201-262-1163
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR01587411041C0700X
NJ44SC003524001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
169287OtherHEALTHNET
P1119863OtherOXFORD
P1119863OtherOXFORD
NJ953126Medicare ID - Type Unspecified