1841341211 NPI number — MARGUERITE E MACARTHUR LICSW

Table of content: MARGUERITE E MACARTHUR LICSW (NPI 1841341211)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841341211 NPI number — MARGUERITE E MACARTHUR LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MACARTHUR
Provider First Name:
MARGUERITE
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841341211
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 269
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CENTER SANDWICH
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03227-0269
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-269-5818
Provider Business Mailing Address Fax Number:
603-569-8925

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35 CENTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOLFEBORO FALLS
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03896-9998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-569-5818
Provider Business Practice Location Address Fax Number:
603-569-8925
Provider Enumeration Date:
01/14/2007

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:  1075 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: 004554 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1042398 . This is a "CIGNA BEHAVIORAL HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 14Y001739NY03 . This is a "BEHAVIOR HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30424053 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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