Provider Demographics
NPI:1265519219
Name:ESCOTT, MARGOT (MARGOT ESCOTT)
Entity type:Individual
Prefix:MS
First Name:MARGOT
Middle Name:
Last Name:ESCOTT
Suffix:
Gender:F
Credentials:MARGOT ESCOTT
Other - Prefix:MS
Other - First Name:MARGOT
Other - Middle Name:
Other - Last Name:ESCOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1782 IMPERIAL GOLF COURSE BLVD
Mailing Address - Street 2:C-103
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1046
Mailing Address - Country:US
Mailing Address - Phone:239-434-6558
Mailing Address - Fax:
Practice Address - Street 1:1782 IMPERIAL GOLF COURSE BLVD
Practice Address - Street 2:C-103
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1046
Practice Address - Country:US
Practice Address - Phone:239-434-6558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00017081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL260246272OtherTAX ID NUMBER
FL650015816Medicare UPIN
FLZ2166Medicare ID - Type UnspecifiedMEDICARE