Provider Demographics
NPI:1558309781
Name:MACHLAN, MARGARET A (MSW, LCSW, LCAC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:MACHLAN
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 INWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46815-7115
Mailing Address - Country:US
Mailing Address - Phone:260-218-8298
Mailing Address - Fax:
Practice Address - Street 1:2112 INWOOD DR
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46815-7115
Practice Address - Country:US
Practice Address - Phone:260-218-8298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34000354A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN261420AMedicare PIN
IN261420AMedicare PIN