Provider Demographics
NPI:1437230448
Name:VAN MEER, MARGARET NEDERVEEN (LICENSED COUNSELOR)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:NEDERVEEN
Last Name:VAN MEER
Suffix:
Gender:F
Credentials:LICENSED COUNSELOR
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:BOGART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICENSED COUNSELOR
Mailing Address - Street 1:PO BOX 34703
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1703
Mailing Address - Country:US
Mailing Address - Phone:062-764-0502
Mailing Address - Fax:206-764-0516
Practice Address - Street 1:1400 N LAVENTURE RD
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273
Practice Address - Country:US
Practice Address - Phone:360-542-5329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00041035104100000X
WALH60282039101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1083762355Medicaid