Provider Demographics
NPI:1063615730
Name:CULVER, MARGARET O'REILLY (MSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:O'REILLY
Last Name:CULVER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 WOLFRUM RD
Mailing Address - Street 2:
Mailing Address - City:WELDON SPRING
Mailing Address - State:MO
Mailing Address - Zip Code:63304-7855
Mailing Address - Country:US
Mailing Address - Phone:636-300-1780
Mailing Address - Fax:
Practice Address - Street 1:14323 S OUTER 40
Practice Address - Street 2:607
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-5739
Practice Address - Country:US
Practice Address - Phone:314-603-1759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060338641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical