Provider Demographics
NPI:1841487717
Name:MCCLAIN-GLYNN, MARGARET KATHLEEN (LCSW, LCADC)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:KATHLEEN
Last Name:MCCLAIN-GLYNN
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 MOUNT AIRY RD
Mailing Address - Street 2:
Mailing Address - City:BERNARDSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07924-2544
Mailing Address - Country:US
Mailing Address - Phone:908-809-8416
Mailing Address - Fax:
Practice Address - Street 1:43 MOUNT AIRY RD
Practice Address - Street 2:
Practice Address - City:BERNARDSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07924-2544
Practice Address - Country:US
Practice Address - Phone:908-809-8416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ445C053167001041C0700X
NJ37LC00171000174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No174400000XOther Service ProvidersSpecialist