1750468484 NPI number — MS. MARGARET MARY LOVERGINE LCSW

Table of content: MS. MARGARET MARY LOVERGINE LCSW (NPI 1750468484)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750468484 NPI number — MS. MARGARET MARY LOVERGINE LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOVERGINE
Provider First Name:
MARGARET
Provider Middle Name:
MARY
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LOVERGINE
Provider Other First Name:
PEGGY
Provider Other Middle Name:
MARY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1750468484
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/10/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12 OLD MAMARONECK RD APT 5B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITE PLAINS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10605-2037
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-806-7728
Provider Business Mailing Address Fax Number:
914-761-4689

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23 OLD MAMARONECK RD
Provider Second Line Business Practice Location Address:
SUITE # 2
Provider Business Practice Location Address City Name:
WHITE PLAINS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10605-2061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-806-7728
Provider Business Practice Location Address Fax Number:
914-949-5411
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:  PR024892-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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