Provider Demographics
NPI:1982110490
Name:DURHAM, MARGARET CHASE (LCSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:CHASE
Last Name:DURHAM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:CHASE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:8105 GATEHOUSE XING
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3273
Mailing Address - Country:US
Mailing Address - Phone:423-650-6198
Mailing Address - Fax:
Practice Address - Street 1:8105 GATEHOUSE XING
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3273
Practice Address - Country:US
Practice Address - Phone:423-650-6198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-19
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0008741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical