Provider Demographics
NPI:1881821866
Name:MASTERS, MARGARET ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:MASTERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:753 SINAI CIR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-9226
Mailing Address - Country:US
Mailing Address - Phone:984-364-9816
Mailing Address - Fax:919-249-2150
Practice Address - Street 1:1073 BULLARD CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6867
Practice Address - Country:US
Practice Address - Phone:888-557-4080
Practice Address - Fax:919-249-2150
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0065611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6007295Medicaid