Provider Demographics
NPI:1538480058
Name:BLAU, MARGARET K (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:K
Last Name:BLAU
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 1:2101 LOCKHILL SELMA RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1488
Mailing Address - Country:US
Mailing Address - Phone:210-826-9082
Mailing Address - Fax:
Practice Address - Street 1:2101 LOCKHILL SELMA RD
Practice Address - Street 2:SUITE 210
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1488
Practice Address - Country:US
Practice Address - Phone:210-826-9082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5401558-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical