Provider Demographics
NPI:1649306770
Name:CLANCY, MARGARET M (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:CLANCY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1015 33RD ST NW
Mailing Address - Street 2:SUITE 115
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-3523
Mailing Address - Country:US
Mailing Address - Phone:202-338-5842
Mailing Address - Fax:202-337-0910
Practice Address - Street 1:1015 33RD ST NW
Practice Address - Street 2:SUITE 115
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-3523
Practice Address - Country:US
Practice Address - Phone:202-338-5842
Practice Address - Fax:202-337-0910
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DC72232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCB94404Medicare UPIN
DC198201Medicare ID - Type Unspecified