Provider Demographics
NPI:1053896209
Name:NUGENT, MARGO J (MSW)
Entity type:Individual
Prefix:
First Name:MARGO
Middle Name:J
Last Name:NUGENT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:656 HANOVER PL
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-3807
Mailing Address - Country:US
Mailing Address - Phone:917-225-3801
Mailing Address - Fax:
Practice Address - Street 1:BRONX CHILD AND FAMILY MENTAL HEALTH CENTER
Practice Address - Street 2:579 COURTLANDT AVE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-485-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker