Provider Demographics
NPI:1437377017
Name:BORELLI, MARGARET A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:A
Last Name:BORELLI
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 1:111 NEW HANOVER AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-6248
Mailing Address - Country:US
Mailing Address - Phone:203-238-3649
Mailing Address - Fax:
Practice Address - Street 1:117 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-3163
Practice Address - Country:US
Practice Address - Phone:203-235-5767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0060621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical