Provider Demographics
NPI:1932265733
Name:PERRYMAN, MARGARET HERITAGE (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:HERITAGE
Last Name:PERRYMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:HERITAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:PO BOX 93
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-0093
Mailing Address - Country:US
Mailing Address - Phone:609-625-2062
Mailing Address - Fax:609-625-2970
Practice Address - Street 1:2209 RTE 50
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-0093
Practice Address - Country:US
Practice Address - Phone:609-625-2062
Practice Address - Fax:609-625-2970
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC000283001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
649227Medicare ID - Type Unspecified