MEDICARE: LINDA L MORRISON 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	1041C0700X	Clinical Social Worker	SW8177	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093919888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA L MORRISON LCSW

Provider Business Mailing Address
First Line	:	1120 SE 5TH TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-2642
Country	:	US
Telephone Number	:	239-297-6656
Fax Number	:

Provider Business Practice Location Address
First Line	:	4818 CORONADO PKWY
Second Line	:	SUITE 1
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-9592
Country	:	US
Telephone Number	:	239-297-6656
Fax Number	:

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

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	03/28/2013

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