Provider Demographics
NPI:1750395521
Name:MARGOLIS, ROSE GREEN (MSW LCSW C)
Entity type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:GREEN
Last Name:MARGOLIS
Suffix:
Gender:F
Credentials:MSW LCSW C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11144 OAK LEAF DRIVE
Mailing Address - Street 2:BURNT MILLS CONDOMINIUM
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901
Mailing Address - Country:US
Mailing Address - Phone:301-593-7314
Mailing Address - Fax:301-593-7314
Practice Address - Street 1:11235 OAK LEAF DRIVE
Practice Address - Street 2:SUITE 110
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901
Practice Address - Country:US
Practice Address - Phone:301-593-7314
Practice Address - Fax:301-593-7314
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD06535104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker