Provider Demographics
NPI:1760363253
Name:GARVEY, MAUREEN CECILIA (LCSW)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:CECILIA
Last Name:GARVEY
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 1:1124 E GORHAM ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-1610
Mailing Address - Country:US
Mailing Address - Phone:319-400-6653
Mailing Address - Fax:
Practice Address - Street 1:1124 E GORHAM ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-1610
Practice Address - Country:US
Practice Address - Phone:319-400-6653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11559-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical