Provider Demographics
NPI:1770647646
Name:BRICKMAN, MARGARET (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:BRICKMAN
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 1:2905 WYNSUM AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-5412
Mailing Address - Country:US
Mailing Address - Phone:516-867-5972
Mailing Address - Fax:516-379-7118
Practice Address - Street 1:2905 WYNSUM AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-5412
Practice Address - Country:US
Practice Address - Phone:516-867-5972
Practice Address - Fax:516-379-7118
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR019027-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical