Provider Demographics
NPI:1902315559
Name:NASH, MARGARET O'BRIEN (CDCA)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:O'BRIEN
Last Name:NASH
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:O'BRIEN
Other - Last Name:IVERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4002 WARRENSVILLE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6771
Mailing Address - Country:US
Mailing Address - Phone:216-561-8300
Mailing Address - Fax:
Practice Address - Street 1:4002 WARRENSVILLE CENTER RD
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-6771
Practice Address - Country:US
Practice Address - Phone:216-561-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0161330101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)