Provider Demographics
NPI:1932349214
Name:HUMPHREYS, MARGARET JOANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:JOANN
Last Name:HUMPHREYS
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 1:30 OCEAN PKWY APT 4E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1526
Mailing Address - Country:US
Mailing Address - Phone:917-803-5581
Mailing Address - Fax:
Practice Address - Street 1:30 OCEAN PKWY APT 4E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-1526
Practice Address - Country:US
Practice Address - Phone:917-803-5581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NY071312-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical