MEDICARE: MS. CAPPI MORGAN-BLACK LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	590	CO
2	1041C0700X	Clinical Social Worker	992583	CO

General Provider Information

NPI Number	:	1003909722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAPPI MORGAN-BLACK LCSW

Provider Business Mailing Address
First Line	:	2329 WEST MAIN ST.
Second Line	:	SUITE 205
City	:	LITTLETON
State	:	CO
Zip	:	80120
Country	:	US
Telephone Number	:	303-741-2273
Fax Number	:	303-734-1325

Provider Business Practice Location Address
First Line	:	2329 WEST MAIN ST.
Second Line	:	SUITE 205
City	:	LITTLETON
State	:	CO
Zip	:	80120
Country	:	US
Telephone Number	:	303-741-2273
Fax Number	:	303-734-1325

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	09/11/2025

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