Individual provider Active NPI

Margareth Ann McCreary, LCSW

  • Clinical Social Worker
  • Lago Vista, TX
National Provider Identifier
1306061825
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27695 Issued in TX
Practice address
20511 Dawn Dr
Suite 106
Lago Vista, TX 78645-5212
Phone
(512) 964-8265
Fax
(512) 267-6468
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 27695 TX Primary

Addresses

Primary practice location

20511 Dawn Dr
Suite 106
Lago Vista, TX 78645-5212

Mailing address

21502 High Dr
Lago Vista, TX 78645-6507
Phone (512) 964-8265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27695TXMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306061825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21502 HIGH DR",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786456507",
            "telephone_number": "512-964-8265",
            "fax_number": "512-267-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20511 DAWN DR",
            "address_2": "SUITE 106",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786455212",
            "telephone_number": "512-964-8265",
            "fax_number": "512-267-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "MARGARETH",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "27695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lago Vista, TX

Sources for this page

Verify at the official NPI Registry.