Provider Demographics
NPI:1356703334
Name:MARGULIES, AMY (LPC, SAC, SAC)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:MARGULIES
Suffix:
Gender:
Credentials:LPC, SAC, SAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7613 ELMWOOD AVE
Mailing Address - Street 2:# 620083
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-3191
Mailing Address - Country:US
Mailing Address - Phone:608-212-4010
Mailing Address - Fax:
Practice Address - Street 1:7613 ELMWOOD AVE
Practice Address - Street 2:# 620083
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-3191
Practice Address - Country:US
Practice Address - Phone:608-212-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCCMH0190841101Y00000X
WI13933-131101YA0400X
NMCAD0190851101YA0400X
WI3068-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)