Provider Demographics
NPI:1699843102
Name:MARGULIES, CANDACE DEE (LCSW)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:DEE
Last Name:MARGULIES
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 1:100 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2419
Mailing Address - Country:US
Mailing Address - Phone:828-767-9272
Mailing Address - Fax:
Practice Address - Street 1:100 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2419
Practice Address - Country:US
Practice Address - Phone:828-767-9272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN293320900OtherMEDICAL ASSISTANCE
MN6G314MA 3G377LA SWOtherBLUE CROSS BLUE SHIELD
MN6263680OtherUBH & MEDICA
MN800000570 C01878Medicare ID - Type Unspecified