Provider Demographics
NPI:1720164742
Name:BURTS, MARGARET AMANDA (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:AMANDA
Last Name:BURTS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:468 CALER RD
Mailing Address - Street 2:P.O. BOX 173
Mailing Address - City:BRASSTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:28902-8532
Mailing Address - Country:US
Mailing Address - Phone:828-837-9761
Mailing Address - Fax:
Practice Address - Street 1:281 VALLEY RIVER AVENUE
Practice Address - Street 2:MURPHY COUNSELING SERVICES
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906
Practice Address - Country:US
Practice Address - Phone:828-835-7372
Practice Address - Fax:828-835-8282
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0028251041C0700X
GACSW0031831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002577Medicaid
NC6002577Medicaid