Provider Demographics
NPI:1215262779
Name:VINOLUS, MARGARET (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:VINOLUS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3956 SHASTA VIEW ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-5868
Mailing Address - Country:US
Mailing Address - Phone:541-345-0300
Mailing Address - Fax:541-345-0300
Practice Address - Street 1:132 E BROADWAY
Practice Address - Street 2:SUITE 825
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3143
Practice Address - Country:US
Practice Address - Phone:541-517-4689
Practice Address - Fax:541-345-0300
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL44551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical