Provider Demographics
NPI:1427483304
Name:MARGULIES, CHARLOTTE LOCKHART (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:LOCKHART
Last Name:MARGULIES
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 1:120 E MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-1787
Mailing Address - Country:US
Mailing Address - Phone:970-432-8492
Mailing Address - Fax:
Practice Address - Street 1:120 E MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-1787
Practice Address - Country:US
Practice Address - Phone:970-432-8492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099250611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO84-0406820Medicaid