Provider Demographics
NPI:1053400150
Name:ESPINOLA, MARGARET R (LICSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:R
Last Name:ESPINOLA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 GOODMANS HILL RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-2414
Mailing Address - Country:US
Mailing Address - Phone:978-443-3303
Mailing Address - Fax:978-579-2105
Practice Address - Street 1:224 GOODMANS HILL RD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-2414
Practice Address - Country:US
Practice Address - Phone:978-443-8640
Practice Address - Fax:978-579-2105
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1028361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P03031Medicare UPIN
MAP03031Medicare ID - Type Unspecified