Widener, Marguerite S
Widener, Marguerite S is an sole proprietor health care provider with primary practice located at 1582 W San Marcos Blvd Ste 105 , San Marcos CA 92078. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Widener, Marguerite S can be contacted via phone (760) 522-0710.Contact Information
Primary practice address
1582 W San Marcos Blvd Ste 105
San Marcos CA 92078
Phone: (760) 522-0710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005467 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 73336 | California |
Profile Details
| NPI number | 1508959594 |
|---|---|
| LBN Legal business name | Widener, Marguerite S |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Aug 2nd, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508959594 | NPPES |
| North Carolina | MEDICAID | 6106520 |
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