Provider Demographics
NPI:1427180181
Name:WILSON, MARGARET A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:A
Last Name:WILSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:15832 SYMPHONY BLVD
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4295
Mailing Address - Country:US
Mailing Address - Phone:317-506-7705
Mailing Address - Fax:317-781-0465
Practice Address - Street 1:5218 S EAST ST
Practice Address - Street 2:SUITE E-4
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-1900
Practice Address - Country:US
Practice Address - Phone:317-506-7705
Practice Address - Fax:317-781-0465
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34004880A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical