Provider Demographics
NPI:1306061825
Name:MCCREARY, MARGARETH ANN (LCSW)
Entity type:Individual
Prefix:
First Name:MARGARETH
Middle Name:ANN
Last Name:MCCREARY
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 1:21502 HIGH DR
Mailing Address - Street 2:
Mailing Address - City:LAGO VISTA
Mailing Address - State:TX
Mailing Address - Zip Code:78645-6507
Mailing Address - Country:US
Mailing Address - Phone:512-964-8265
Mailing Address - Fax:512-267-6468
Practice Address - Street 1:20511 DAWN DR
Practice Address - Street 2:SUITE 106
Practice Address - City:LAGO VISTA
Practice Address - State:TX
Practice Address - Zip Code:78645-5212
Practice Address - Country:US
Practice Address - Phone:512-964-8265
Practice Address - Fax:512-267-6468
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX276951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical