Provider Demographics
NPI:1851505812
Name:ROWLES, MARGO BETH (LICSW)
Entity Type:Individual
Prefix:MS
First Name:MARGO
Middle Name:BETH
Last Name:ROWLES
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 1:11217 RICHLAND GROVE DR
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-1104
Mailing Address - Country:US
Mailing Address - Phone:202-262-0045
Mailing Address - Fax:
Practice Address - Street 1:2000 P ST NW
Practice Address - Street 2:SUITE 720
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5915
Practice Address - Country:US
Practice Address - Phone:202-262-0045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3019691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC5808OtherBLUE CROSS BLUE SHIELD
DC7267156OtherAETNA