Provider Demographics
NPI:1922189901
Name:MADIGAN, MARGARET ANN (LCSW R)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:MADIGAN
Suffix:
Gender:F
Credentials:LCSW R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13903-3271
Mailing Address - Country:US
Mailing Address - Phone:607-772-0927
Mailing Address - Fax:
Practice Address - Street 1:RTE 267
Practice Address - Street 2:BOX # 1664 CHOCONUT
Practice Address - City:FRIENDSVILLE,
Practice Address - State:PA
Practice Address - Zip Code:18818
Practice Address - Country:US
Practice Address - Phone:607-727-0563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058925-1101YM0800X
PASW011544L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY366740OtherMEDICAL INS
PA366740OtherMEDICAL INSURANCE
PA7188673OtherAETNA INS.
NY7188673OtherAETNA INS