Provider Demographics
NPI:1104156587
Name:CRONIN, MARGARET A (LISW-CP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:A
Last Name:CRONIN
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 LAMBOIL ST
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-1679
Mailing Address - Country:US
Mailing Address - Phone:864-234-7387
Mailing Address - Fax:
Practice Address - Street 1:527 MILLS AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5602
Practice Address - Country:US
Practice Address - Phone:864-242-6565
Practice Address - Fax:864-242-6757
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC55311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical