Provider Demographics
NPI: | 1841341211 |
---|---|
Name: | MACARTHUR, MARGUERITE E (LICSW) |
Entity type: | Individual |
Prefix: | |
First Name: | MARGUERITE |
Middle Name: | E |
Last Name: | MACARTHUR |
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: | PO BOX 269 |
Mailing Address - Street 2: | |
Mailing Address - City: | CENTER SANDWICH |
Mailing Address - State: | NH |
Mailing Address - Zip Code: | 03227-0269 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 603-269-5818 |
Mailing Address - Fax: | 603-569-8925 |
Practice Address - Street 1: | 35 CENTER ST |
Practice Address - Street 2: | |
Practice Address - City: | WOLFEBORO FALLS |
Practice Address - State: | NH |
Practice Address - Zip Code: | 03896-9998 |
Practice Address - Country: | US |
Practice Address - Phone: | 603-569-5818 |
Practice Address - Fax: | 603-569-8925 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2007-01-14 |
Last Update Date: | 2007-07-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NH | 1075 | 1041C0700X |
MO | 004554 | 1041C0700X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
1042398 | Other | CIGNA BEHAVIORAL HEALTH | |
14Y001739NY03 | Other | BEHAVIOR HEALTH NETWORK | |
NH | 30424053 | Medicaid | |
RE8033 | Medicare ID - Type Unspecified |