Provider Demographics
NPI:1750029070
Name:AUSTIN, MARGRETTA F (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGRETTA
Middle Name:F
Last Name:AUSTIN
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 1:2716 BERNADOTTE ST
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-6518
Mailing Address - Country:US
Mailing Address - Phone:757-232-9842
Mailing Address - Fax:757-689-8715
Practice Address - Street 1:2716 BERNADOTTE ST
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-6518
Practice Address - Country:US
Practice Address - Phone:757-232-9842
Practice Address - Fax:757-689-8715
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040140191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty