Provider Demographics
NPI:1770609919
Name:KOSTER, MARGARET (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:KOSTER
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 1:16100 N HIGHWAY 101 SPC 72
Mailing Address - Street 2:
Mailing Address - City:WILLITS
Mailing Address - State:CA
Mailing Address - Zip Code:95490-9715
Mailing Address - Country:US
Mailing Address - Phone:707-459-5970
Mailing Address - Fax:
Practice Address - Street 1:16100 N HIGHWAY 101 SPC 72
Practice Address - Street 2:
Practice Address - City:WILLITS
Practice Address - State:CA
Practice Address - Zip Code:95490-9715
Practice Address - Country:US
Practice Address - Phone:707-459-5970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS5820103T00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical