Provider Demographics
NPI:1902112238
Name:GREENLY, MARGARET ADAMS (LCSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ADAMS
Last Name:GREENLY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 BROWNING RD
Mailing Address - Street 2:
Mailing Address - City:SALT POINT
Mailing Address - State:NY
Mailing Address - Zip Code:12578-2034
Mailing Address - Country:US
Mailing Address - Phone:845-266-5509
Mailing Address - Fax:
Practice Address - Street 1:505 BROWNING RD
Practice Address - Street 2:
Practice Address - City:SALT POINT
Practice Address - State:NY
Practice Address - Zip Code:12578-2034
Practice Address - Country:US
Practice Address - Phone:845-266-5509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR013174-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical