1922189901 NPI number — MS. MARGARET ANN MADIGAN LCSW R

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922189901 NPI number — MS. MARGARET ANN MADIGAN LCSW R

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MADIGAN
Provider First Name:
MARGARET
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW R
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:
1922189901
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:
153 S WASHINGTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BINGHAMTON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13903-3271
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-772-0927
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
RTE 267
Provider Second Line Business Practice Location Address:
BOX # 1664 CHOCONUT
Provider Business Practice Location Address City Name:
FRIENDSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18818
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-727-0563
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/18/2006

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: 101YM0800X , with the licence number:  058925-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: SW011544L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 366740 . This is a "MEDICAL INS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 366740 . This is a "MEDICAL INSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7188673 . This is a "AETNA INS." identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7188673 . This is a "AETNA INS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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