1265519219 NPI number — MS. MARGOT ESCOTT MARGOT ESCOTT

Table of content: MS. MARGOT ESCOTT MARGOT ESCOTT (NPI 1265519219)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265519219 NPI number — MS. MARGOT ESCOTT MARGOT ESCOTT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESCOTT
Provider First Name:
MARGOT
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MARGOT ESCOTT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ESCOTT
Provider Other First Name:
MARGOT
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1265519219
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/05/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1782 IMPERIAL GOLF COURSE BLVD
Provider Second Line Business Mailing Address:
C-103
Provider Business Mailing Address City Name:
NAPLES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34110-1046
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
239-434-6558
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1782 IMPERIAL GOLF COURSE BLVD
Provider Second Line Business Practice Location Address:
C-103
Provider Business Practice Location Address City Name:
NAPLES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34110-1046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-434-6558
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/01/2006

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:  SW0001708 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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