Provider Demographics
NPI:1306086889
Name:LIBIN, MARGERY J (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARGERY
Middle Name:J
Last Name:LIBIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARGERY
Other - Middle Name:J
Other - Last Name:LIBIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:19 SHORE PARK RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-2017
Mailing Address - Country:US
Mailing Address - Phone:516-466-7336
Mailing Address - Fax:516-466-7336
Practice Address - Street 1:19 SHORE PARK RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11023-2017
Practice Address - Country:US
Practice Address - Phone:516-466-7336
Practice Address - Fax:516-466-7336
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR070030-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical