Provider Demographics
NPI:1477531325
Name:SCOBORIA, MARGARET THERESA (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:THERESA
Last Name:SCOBORIA
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 1:556 SW WOODCREEK DR
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-1858
Mailing Address - Country:US
Mailing Address - Phone:772-283-6389
Mailing Address - Fax:772-223-8131
Practice Address - Street 1:729 S FEDERAL HWY
Practice Address - Street 2:SUITE 205
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2913
Practice Address - Country:US
Practice Address - Phone:772-220-4755
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW30271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ4924OtherBCBSF
FLZ4924OtherBCBSF