1861523201 NPI number — MRS. MARGARET MARY PFEIFER LINCOLN LMSW ACSW

Table of content: MRS. MARGARET MARY PFEIFER LINCOLN LMSW ACSW (NPI 1861523201)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861523201 NPI number — MRS. MARGARET MARY PFEIFER LINCOLN LMSW ACSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PFEIFER LINCOLN
Provider First Name:
MARGARET
Provider Middle Name:
MARY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW ACSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LINCOLN
Provider Other First Name:
MARGARET
Provider Other Middle Name:
MARY
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMSW ACSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1861523201
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/09/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1088 RAVENSVIEW TRAIL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILFORD
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48381
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-762-6550
Provider Business Mailing Address Fax Number:
734-324-4673

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2514 BIDDLE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WYANDOTTE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48192
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-762-6550
Provider Business Practice Location Address Fax Number:
734-324-4673
Provider Enumeration Date:
03/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  6801071411 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 089697080 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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