Provider Demographics
NPI:1821101510
Name:DEMAYO, MARGARET M (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:M
Last Name:DEMAYO
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 1:101 LIKENS WAY
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-7636
Mailing Address - Country:US
Mailing Address - Phone:540-533-0956
Mailing Address - Fax:
Practice Address - Street 1:101 LIKENS WAY
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-7636
Practice Address - Country:US
Practice Address - Phone:540-533-0956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040059831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA178790OtherANTHEM
VA010155754Medicaid
VAVAA102343Medicare PIN