Provider Demographics
NPI:1124047162
Name:GLAZEWSKA-NEWHART, MARGARET ANNA
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNA
Last Name:GLAZEWSKA-NEWHART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 BARRETT DR STE 311E
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6644
Mailing Address - Country:US
Mailing Address - Phone:919-272-7518
Mailing Address - Fax:919-834-8449
Practice Address - Street 1:3900 BARRETT DR STE 311E
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6644
Practice Address - Country:US
Practice Address - Phone:919-272-7518
Practice Address - Fax:919-834-8449
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0033261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2870450BOtherMEDICARE
NC6003346Medicaid