Provider Demographics
NPI:1184945594
Name:KUSHNER, MARGO ANNE (LCSW-C, PHD, AAMFT)
Entity type:Individual
Prefix:DR
First Name:MARGO
Middle Name:ANNE
Last Name:KUSHNER
Suffix:
Gender:F
Credentials:LCSW-C, PHD, AAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 RIVER OAK CT.
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801
Mailing Address - Country:US
Mailing Address - Phone:443-366-4352
Mailing Address - Fax:410-677-3295
Practice Address - Street 1:632 RIVER OAK CT.
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801
Practice Address - Country:US
Practice Address - Phone:443-366-4352
Practice Address - Fax:410-677-3295
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCSW-C#136751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical