Provider Demographics
NPI:1750468484
Name:LOVERGINE, MARGARET MARY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARY
Last Name:LOVERGINE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:PEGGY
Other - Middle Name:MARY
Other - Last Name:LOVERGINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:12 OLD MAMARONECK RD APT 5B
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2037
Mailing Address - Country:US
Mailing Address - Phone:914-806-7728
Mailing Address - Fax:914-761-4689
Practice Address - Street 1:23 OLD MAMARONECK RD
Practice Address - Street 2:SUITE # 2
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2061
Practice Address - Country:US
Practice Address - Phone:914-806-7728
Practice Address - Fax:914-949-5411
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR024892-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0032725Medicare UPIN
NY5225325Medicare UPIN
NYN1240Medicare UPIN
NY136109Medicare UPIN