Provider Demographics
NPI:1407999220
Name:CORCORAN, MARGARET T (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:T
Last Name:CORCORAN
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 1:109 EAST CHEROKEE ST
Mailing Address - Street 2:PO BOX236
Mailing Address - City:SHABBONA
Mailing Address - State:IL
Mailing Address - Zip Code:60550-0236
Mailing Address - Country:US
Mailing Address - Phone:815-824-2860
Mailing Address - Fax:
Practice Address - Street 1:109 EAST CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:SHABBONA
Practice Address - State:IL
Practice Address - Zip Code:60550-0236
Practice Address - Country:US
Practice Address - Phone:815-824-2860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0038391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical