Basic Information
| Provider Information | |||||||||
| NPI: | 1164964433 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORGAN | ||||||||
| FirstName: | NANCY | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 275 CHESTNUT ST | ||||||||
| Address2: | |||||||||
| City: | MIFFLINBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178441315 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182334292 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 32 WHISPER CREEK DR STE 7 | ||||||||
| Address2: | |||||||||
| City: | LEWISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178377770 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5705220304 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/17/2016 | ||||||||
| LastUpdateDate: | 01/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 099465 | NY | N | Behavioral Health & Social Service Providers | Social Worker | 104100000X | SW134154 | PA | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | CW021574 | PA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.