Provider Demographics
NPI:1598803058
Name:MOLPUS, MARGARET ELIZABETH (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:MOLPUS
Suffix:
Gender:F
Credentials:MSW, LCSW
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 2937
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27204-2937
Mailing Address - Country:US
Mailing Address - Phone:336-625-3888
Mailing Address - Fax:336-625-6113
Practice Address - Street 1:505 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5617
Practice Address - Country:US
Practice Address - Phone:336-625-3888
Practice Address - Fax:336-625-6113
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0025461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6003144Medicaid
NC1270COtherBLUE CROSS PROVIDER ID
NCE1708OtherMEDCOST PROVIDER ID