Provider Demographics
NPI:1396249876
Name:STEIN, MARGAUX AMSTELL (LCSW)
Entity type:Individual
Prefix:
First Name:MARGAUX
Middle Name:AMSTELL
Last Name:STEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARGAUX
Other - Middle Name:AMSTELL
Other - Last Name:KILLMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1162 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4308
Mailing Address - Country:US
Mailing Address - Phone:650-304-3906
Mailing Address - Fax:
Practice Address - Street 1:1006 ARGUELLO ST APT A
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1278
Practice Address - Country:US
Practice Address - Phone:585-754-0773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA812761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical