Provider Demographics
NPI:1215952981
Name:DAY, MARGARET ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:DAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:GORRILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:96 HARLOW STREET
Mailing Address - Street 2:SUITE 380-381
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4925
Mailing Address - Country:US
Mailing Address - Phone:207-262-0055
Mailing Address - Fax:207-262-0055
Practice Address - Street 1:96 HARLOW STREET
Practice Address - Street 2:SUITE 380-381
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4925
Practice Address - Country:US
Practice Address - Phone:207-262-0055
Practice Address - Fax:207-262-0055
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC44421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME099205OtherANTHEM