Provider Demographics
NPI:1104046465
Name:CARNE, MARGARET MARY (MSW LCSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:CARNE
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 YORK ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-4011
Mailing Address - Country:US
Mailing Address - Phone:201-451-6205
Mailing Address - Fax:201-451-4042
Practice Address - Street 1:322 YORK ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4011
Practice Address - Country:US
Practice Address - Phone:201-451-6205
Practice Address - Fax:201-451-4042
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC004919001041C0700X
NYLMSW 0314741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN5697OtherEMPIRE BCBS
HS187OtherOXFORD
CA654564Medicare ID - Type Unspecified