Provider Demographics
NPI:1184915654
Name:LUKASZEWSKI, MARGARET MARY (BSBA, LSW)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MARY
Last Name:LUKASZEWSKI
Suffix:
Gender:F
Credentials:BSBA, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:51 GRAVEL ST
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18705-3738
Mailing Address - Country:US
Mailing Address - Phone:570-822-5653
Mailing Address - Fax:570-822-2475
Practice Address - Street 1:51 GRAVEL ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18705-3738
Practice Address - Country:US
Practice Address - Phone:570-822-5653
Practice Address - Fax:570-822-2475
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-08-4792103K00000X
PASW012364L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker