Provider Demographics
NPI:1922192384
Name:BEERY, MARGALIT R (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGALIT
Middle Name:R
Last Name:BEERY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 GREAT JONES ST
Mailing Address - Street 2:5
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-1134
Mailing Address - Country:US
Mailing Address - Phone:212-777-0716
Mailing Address - Fax:718-676-4216
Practice Address - Street 1:4 GREAT JONES ST
Practice Address - Street 2:5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-1134
Practice Address - Country:US
Practice Address - Phone:212-777-0716
Practice Address - Fax:718-676-4216
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0736711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00073671Medicaid
NY00073671Medicaid