MEDICARE: MS. ABIGAIL MORGAN 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	0904007148	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CO3714	OTHER	VA	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1447487483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ABIGAIL MORGAN LCSW

Provider Business Mailing Address
First Line	:	5215 COLLEY AVE
Second Line	:	STE 114
City	:	NORFOLK
State	:	VA
Zip	:	23508-2043
Country	:	US
Telephone Number	:	757-233-8575
Fax Number	:	757-233-7267

Provider Business Practice Location Address
First Line	:	5215 COLLEY AVE
Second Line	:	STE 114
City	:	NORFOLK
State	:	VA
Zip	:	23508-2043
Country	:	US
Telephone Number	:	757-233-8575
Fax Number	:	757-233-7267

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

Provider Enumeration Date	:	06/17/2009
Last Update Date	:	12/15/2016

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