Provider Demographics
NPI:1407924020
Name:HANSON, MARGARET (LCSW R BCD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:HANSON
Suffix:
Gender:F
Credentials:LCSW R BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 STEARNS RD
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-1322
Mailing Address - Country:US
Mailing Address - Phone:607-723-8836
Mailing Address - Fax:
Practice Address - Street 1:202 E MAIN STREET
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760
Practice Address - Country:US
Practice Address - Phone:607-754-2660
Practice Address - Fax:607-754-0769
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0201681104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
164637OtherBC BS
NY380855OtherMVP
NY537556OtherCDPHP
NY537556OtherCDPHP