Provider Demographics
NPI:1184810863
Name:DECARLIS, MARGARET ANNE (LSCSW, LCSW-C, LISW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANNE
Last Name:DECARLIS
Suffix:
Gender:F
Credentials:LSCSW, LCSW-C, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1594 WELLINGSHIRE ST NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44721-2042
Mailing Address - Country:US
Mailing Address - Phone:913-982-6250
Mailing Address - Fax:
Practice Address - Street 1:1594 WELLINGSHIRE ST NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44721-2042
Practice Address - Country:US
Practice Address - Phone:913-982-6250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW48921041C0700X
OHI.23047781041C0700X
MO20180439591041C0700X
MD070071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical