1649546912 NPI number — MRS. MARGARET ANGELA SZAROWICZ LMSW

Table of content: MRS. MARGARET ANGELA SZAROWICZ LMSW (NPI 1649546912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649546912 NPI number — MRS. MARGARET ANGELA SZAROWICZ LMSW

Organization/Personal Information

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

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
THOME
Provider Other First Name:
MARGARET
Provider Other Middle Name:
ANGELA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1649546912
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/23/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 776974
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60677-6974
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
231-672-2119
Provider Business Mailing Address Fax Number:
313-432-7759

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
245 CHERRY ST SE FL 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRAND RAPIDS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49503-4607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
616-685-5050
Provider Business Practice Location Address Fax Number:
616-685-8962
Provider Enumeration Date:
03/30/2012

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:  6801092160 , 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)





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