Provider Demographics
NPI:1457795759
Name:ELMER, MARGARET G (LICSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:G
Last Name:ELMER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 MORRISTOWN CORNERS RD
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-8673
Mailing Address - Country:US
Mailing Address - Phone:518-312-3493
Mailing Address - Fax:
Practice Address - Street 1:623 MORRISTOWN CORNERS RD
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-8673
Practice Address - Country:US
Practice Address - Phone:518-312-3493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.00730851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical