Provider Demographics
NPI:1255519245
Name:THOMSEN, MARGARET ANN (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:THOMSEN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:THOMSEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:311 RAMSEY ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2323
Mailing Address - Country:US
Mailing Address - Phone:651-294-2406
Mailing Address - Fax:651-227-6559
Practice Address - Street 1:311 RAMSEY ST
Practice Address - Street 2:SUITE 105
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2323
Practice Address - Country:US
Practice Address - Phone:651-294-2406
Practice Address - Fax:651-227-6559
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-01
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13696104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker