Provider Demographics
NPI:1588252001
Name:DWYER, MARGARET JANE (LMSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:JANE
Last Name:DWYER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:JANE
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1413 KEY PKWY APT A3
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-9038
Mailing Address - Country:US
Mailing Address - Phone:973-525-5625
Mailing Address - Fax:
Practice Address - Street 1:201 BROADWAY ST STE 110
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6696
Practice Address - Country:US
Practice Address - Phone:443-440-5780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-10
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18547104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker