Provider Demographics
NPI:1699989111
Name:SOUZA, MARGARET (LCSW)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:SOUZA
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 1:222 W 14TH ST
Mailing Address - Street 2:APT 6K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7208
Mailing Address - Country:US
Mailing Address - Phone:718-436-8534
Mailing Address - Fax:
Practice Address - Street 1:26 COURT ST. SUITE 602 11242-1112
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242
Practice Address - Country:US
Practice Address - Phone:347-596-4267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2016-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR021768-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical