Provider Demographics
NPI:1699960195
Name:NEAL, MARGARET W (LCSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:W
Last Name:NEAL
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 1:3400 CENTRAL AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2175
Mailing Address - Country:US
Mailing Address - Phone:951-275-5200
Mailing Address - Fax:951-781-9084
Practice Address - Street 1:3400 CENTRAL AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2175
Practice Address - Country:US
Practice Address - Phone:951-275-5200
Practice Address - Fax:951-781-9084
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-08
Last Update Date:2007-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS96221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical