Basic Information
Provider Information
NPI: 1215031687
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VARGAS
FirstName: MARGARET
MiddleName: M
NamePrefix: MRS.
NameSuffix:  
Credential: LICSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 140 COMMONWEALTH AVE
Address2: SUITE 202 CATHOLIC CHARITIES
City: DANVERS
State: MA
PostalCode: 01923
CountryCode: US
TelephoneNumber: 9787746820
FaxNumber: 9787774242
Practice Location
Address1: 140 COMMONWEALTH AVE
Address2: CATHOLIC CHARITIES
City: DANVERS
State: MA
PostalCode: 01923
CountryCode: US
TelephoneNumber: 9787746820
FaxNumber: 9787774242
Other Information
ProviderEnumerationDate: 09/07/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X1024235MAY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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