Provider Demographics
NPI:1013142470
Name:FRAULO, MARGY SUSAN (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGY
Middle Name:SUSAN
Last Name:FRAULO
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 1:9 BENEDICT PLACE
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830
Mailing Address - Country:US
Mailing Address - Phone:203-661-1009
Mailing Address - Fax:203-322-5547
Practice Address - Street 1:9 BENEDICT PL
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5309
Practice Address - Country:US
Practice Address - Phone:203-661-1009
Practice Address - Fax:203-322-5547
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0028191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical