Provider Demographics
NPI:1861523201
Name:PFEIFER LINCOLN, MARGARET MARY (LMSW ACSW)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MARY
Last Name:PFEIFER LINCOLN
Suffix:
Gender:F
Credentials:LMSW ACSW
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:MARY
Other - Last Name:LINCOLN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW ACSW
Mailing Address - Street 1:1088 RAVENSVIEW TRAIL
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381
Mailing Address - Country:US
Mailing Address - Phone:248-762-6550
Mailing Address - Fax:734-324-4673
Practice Address - Street 1:2514 BIDDLE AVE
Practice Address - Street 2:
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192
Practice Address - Country:US
Practice Address - Phone:248-762-6550
Practice Address - Fax:734-324-4673
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010714111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI089697080OtherBLUE CROSS BLUE SHIELD