Provider Demographics
NPI:1952551434
Name:RAINTREE, MARGARET ELLEN (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ELLEN
Last Name:RAINTREE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:RAINTREE
Other - Last Name:HOMSY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1335 MAIN ST STE 105
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENA
Mailing Address - State:CA
Mailing Address - Zip Code:94574-1940
Mailing Address - Country:US
Mailing Address - Phone:707-494-1239
Mailing Address - Fax:707-968-6125
Practice Address - Street 1:21152 CALISTOGA RE #203
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CA
Practice Address - Zip Code:95461
Practice Address - Country:US
Practice Address - Phone:707-494-1239
Practice Address - Fax:707-968-6125
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA270181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGI130AOtherMEDICARE ID