Provider Demographics
NPI:1639357130
Name:MAYO, MARGARET E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:E
Last Name:MAYO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:MAYO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:401 GEYSER ROAD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866
Mailing Address - Country:US
Mailing Address - Phone:518-583-3035
Mailing Address - Fax:518-583-4247
Practice Address - Street 1:401 GEYSER RD
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-9069
Practice Address - Country:US
Practice Address - Phone:518-583-3035
Practice Address - Fax:518-583-4247
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0759531104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02254891Medicaid
NYRB8079Medicare PIN