Provider Demographics
| NPI: | 1841341211 |
|---|---|
| Name: | MACARTHUR, MARGUERITE E (LICSW) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | MARGUERITE |
| Middle Name: | E |
| Last Name: | MACARTHUR |
| Suffix: | |
| Gender: | F |
| Credentials: | LICSW |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | PO BOX 269 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CENTER SANDWICH |
| Mailing Address - State: | NH |
| Mailing Address - Zip Code: | 03227-0269 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 603-269-5818 |
| Mailing Address - Fax: | 603-569-8925 |
| Practice Address - Street 1: | 35 CENTER ST |
| Practice Address - Street 2: | |
| Practice Address - City: | WOLFEBORO FALLS |
| Practice Address - State: | NH |
| Practice Address - Zip Code: | 03896-9998 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 603-569-5818 |
| Practice Address - Fax: | 603-569-8925 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2007-01-14 |
| Last Update Date: | 2007-07-08 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NH | 1075 | 1041C0700X |
| MO | 004554 | 1041C0700X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| 1042398 | Other | CIGNA BEHAVIORAL HEALTH | |
| 14Y001739NY03 | Other | BEHAVIOR HEALTH NETWORK | |
| NH | 30424053 | Medicaid | |
| RE8033 | Medicare ID - Type Unspecified |