Provider Demographics
NPI:1376342493
Name:FLECKENSTEIN, MARGARET ANNE (LICSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:FLECKENSTEIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANNE
Other - Last Name:HANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:310 W 120TH ST APT THE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6193
Mailing Address - Country:US
Mailing Address - Phone:901-289-0543
Mailing Address - Fax:
Practice Address - Street 1:310 W 120TH ST APT THE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-6193
Practice Address - Country:US
Practice Address - Phone:901-289-0543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALICSW1253001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical