Provider Demographics
NPI:1780830174
Name:HUSTED, MARGARET MARY (LMSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:HUSTED
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CAMPUS DR E
Mailing Address - Street 2:APT #3
Mailing Address - City:SNYDER
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3778
Mailing Address - Country:US
Mailing Address - Phone:716-597-1546
Mailing Address - Fax:
Practice Address - Street 1:1325 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-1988
Practice Address - Country:US
Practice Address - Phone:716-335-7393
Practice Address - Fax:716-881-2692
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081141-1104100000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health