Provider Demographics
NPI:1427816255
Name:MIGGINS-AUSTIN, MARGARET ANN (LMSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:MIGGINS-AUSTIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 E 219TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-5307
Mailing Address - Country:US
Mailing Address - Phone:917-597-2315
Mailing Address - Fax:
Practice Address - Street 1:811 E 219TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-5307
Practice Address - Country:US
Practice Address - Phone:917-597-2315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122010-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty