Provider Demographics
NPI:1962688440
Name:CHASE, MARGARET W (LMSW, ACSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:W
Last Name:CHASE
Suffix:
Gender:F
Credentials:LMSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2681 BALMORAL CT
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-2204
Mailing Address - Country:US
Mailing Address - Phone:734-663-0453
Mailing Address - Fax:
Practice Address - Street 1:2681 BALMORAL CT
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-2204
Practice Address - Country:US
Practice Address - Phone:734-663-0453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010131081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical