Provider Demographics
NPI:1912011263
Name:BEAUFORD, MARGARET BERYL (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:BERYL
Last Name:BEAUFORD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 AUBURN BLVD.
Mailing Address - Street 2:A200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-2081
Mailing Address - Country:US
Mailing Address - Phone:916-973-0900
Mailing Address - Fax:916-973-1047
Practice Address - Street 1:3650 AUBURN BLVD
Practice Address - Street 2:A200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2069
Practice Address - Country:US
Practice Address - Phone:916-973-0900
Practice Address - Fax:916-973-1047
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS73131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical