Provider Demographics
NPI:1861609000
Name:LOUGHLIN, MARGARET M (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:LOUGHLIN
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 1:287 NOANK RD
Mailing Address - Street 2:
Mailing Address - City:MYSTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06355-2437
Mailing Address - Country:US
Mailing Address - Phone:860-460-7522
Mailing Address - Fax:
Practice Address - Street 1:287 NOANK RD
Practice Address - Street 2:
Practice Address - City:MYSTIC
Practice Address - State:CT
Practice Address - Zip Code:06355-2437
Practice Address - Country:US
Practice Address - Phone:860-460-7522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0039891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT800002904Medicare ID - Type UnspecifiedFIRST COAST