Provider Demographics
NPI:1144298605
Name:ABIZAID, MARGUERITE J (MSW)
Entity type:Individual
Prefix:MS
First Name:MARGUERITE
Middle Name:J
Last Name:ABIZAID
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S MAIN ST
Mailing Address - Street 2:UNIT C
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-2211
Mailing Address - Country:US
Mailing Address - Phone:617-838-4794
Mailing Address - Fax:
Practice Address - Street 1:100 S MAIN ST
Practice Address - Street 2:UNIT C
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949-2211
Practice Address - Country:US
Practice Address - Phone:617-838-4794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10274151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP08218OtherBLUE CROSS
MA1035070OtherBEACON/NHP/FALLON
MA1852663Medicaid
MA153158OtherVALUE OPTIONS
MA413010OtherMAGELLAN
MA1035070OtherBEACON/NHP/FALLON