Provider Demographics
NPI:1790072809
Name:GRIMSLEY, MARGARET MARY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARY
Last Name:GRIMSLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Mailing Address - Street 1:717 LOUQUE PL
Mailing Address - Street 2:A
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-1731
Mailing Address - Country:US
Mailing Address - Phone:504-232-8133
Mailing Address - Fax:504-875-4330
Practice Address - Street 1:4919 CANAL ST
Practice Address - Street 2:203
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5848
Practice Address - Country:US
Practice Address - Phone:504-232-8133
Practice Address - Fax:504-875-4330
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-09
Last Update Date:2011-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA49011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical