Provider Demographics
NPI:1558167858
Name:DAVID, MARGUERITE ELIZABETH (LCSW)
Entity type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:ELIZABETH
Last Name:DAVID
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 1:210 S PANTOPS DR APT 322
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8842
Mailing Address - Country:US
Mailing Address - Phone:434-409-1937
Mailing Address - Fax:
Practice Address - Street 1:210 S PANTOPS DR APT 322
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8842
Practice Address - Country:US
Practice Address - Phone:434-409-1937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904005148104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker