Provider Demographics
NPI:1245055490
Name:LUEDTKE, MARGARITA E (LCSW)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:E
Last Name:LUEDTKE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARGARITA
Other - Middle Name:E
Other - Last Name:AGUILAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11830 SGT KOEHLER CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79908-3247
Mailing Address - Country:US
Mailing Address - Phone:915-346-8517
Mailing Address - Fax:
Practice Address - Street 1:11830 SGT KOEHLER CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79908-3247
Practice Address - Country:US
Practice Address - Phone:915-346-8517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1071351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical