Provider Demographics
NPI:1568528073
Name:TIMMENY, MARGARET M (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:M
Last Name:TIMMENY
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 1:120 FIFTH AVE.
Mailing Address - Street 2:
Mailing Address - City:SEASIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08752
Mailing Address - Country:US
Mailing Address - Phone:732-286-1101
Mailing Address - Fax:732-240-1180
Practice Address - Street 1:40 BEY LEA RD
Practice Address - Street 2:SUITE B201
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2900
Practice Address - Country:US
Practice Address - Phone:732-286-1101
Practice Address - Fax:732-240-1180
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCOO3910001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJTI652497Medicare ID - Type UnspecifiedLCSW