Provider Demographics
NPI:1497895346
Name:COAKLEY, MARGARET (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:COAKLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 251
Mailing Address - Street 2:
Mailing Address - City:NEW HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04554
Mailing Address - Country:US
Mailing Address - Phone:207-677-2993
Mailing Address - Fax:207-677-6185
Practice Address - Street 1:165 MAIN ST
Practice Address - Street 2:
Practice Address - City:DAMANISCOTTA
Practice Address - State:ME
Practice Address - Zip Code:04543
Practice Address - Country:US
Practice Address - Phone:207-677-2993
Practice Address - Fax:207-677-6185
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC5186104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME039287OtherANTHEM
ME146650OtherVALUE OPTIONS
MEMHN321117OtherMANAGED HEALTH NETWORK
NY146650OtherVALUE OPTIONS
NY146650OtherVALUE OPTIONS
COMM8920Medicare UPIN