Provider Demographics
NPI:1386723476
Name:MARGOLIES, JONATHAN BRETT (LCSW,)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:BRETT
Last Name:MARGOLIES
Suffix:
Gender:M
Credentials:LCSW,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 W 36TH ST
Mailing Address - Street 2:POSTGRADUATE CENTER FOR MENTAL HEALTH
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7598
Mailing Address - Country:US
Mailing Address - Phone:347-853-6330
Mailing Address - Fax:212-489-1116
Practice Address - Street 1:344 W 36TH ST
Practice Address - Street 2:POSTGRADUATE CENTER FOR MENTAL HEALTH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7598
Practice Address - Country:US
Practice Address - Phone:347-853-6330
Practice Address - Fax:212-489-1116
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0541181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical