Provider Demographics
NPI:1730230277
Name:WILHITE, MARGUERITE (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARGUERITE
Middle Name:
Last Name:WILHITE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6536 TELEGRAPH AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1114
Mailing Address - Country:US
Mailing Address - Phone:510-539-5767
Mailing Address - Fax:510-558-3484
Practice Address - Street 1:6536 TELEGRAPH AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1114
Practice Address - Country:US
Practice Address - Phone:510-539-5767
Practice Address - Fax:510-558-3484
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS175291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical