Provider Demographics
NPI:1639917107
Name:ENRIGHT, MARGARET
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:ENRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 SEEMANS LN
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-4337
Mailing Address - Country:US
Mailing Address - Phone:201-321-1383
Mailing Address - Fax:
Practice Address - Street 1:110 MYRTLE AVE # 109
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3514
Practice Address - Country:US
Practice Address - Phone:203-341-1026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTMSW.009029104100000X
CTC0920220004001041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool