Provider Demographics
NPI:1609397215
Name:MARGARUCCI, OLAMIDE (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:OLAMIDE
Middle Name:
Last Name:MARGARUCCI
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 RYAN WAY
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4169
Mailing Address - Country:US
Mailing Address - Phone:973-474-8231
Mailing Address - Fax:
Practice Address - Street 1:24 RYAN WAY
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4169
Practice Address - Country:US
Practice Address - Phone:973-474-8231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-05
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00203900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health