Provider Demographics
NPI:1750190864
Name:WOGLOM, MARGARET PYNE (LCSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:PYNE
Last Name:WOGLOM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 APPLE TREE RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-1331
Mailing Address - Country:US
Mailing Address - Phone:203-326-0488
Mailing Address - Fax:
Practice Address - Street 1:13 APPLE TREE RD
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801-1331
Practice Address - Country:US
Practice Address - Phone:203-326-0488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0091531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical