MEDICARE: JANET 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	104100000X	Social Worker	LCS17967	CA
2	1041C0700X	Clinical Social Worker	LCS17967	CA
3	1041C0700X	Clinical Social Worker	17967	CA

General Provider Information

NPI Number	:	1538270863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET MORGAN LCSW

Provider Business Mailing Address
First Line	:	11622 FAIR OAKS BLVD
Second Line	:	103
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-3750
Country	:	US
Telephone Number	:	916-806-8903
Fax Number	:

Provider Business Practice Location Address
First Line	:	162 EAST CARSON STREET
Second Line	:
City	:	COLUSA
State	:	CA
Zip	:	95932-1238
Country	:	US
Telephone Number	:	916-458-0520
Fax Number	:	916-458-7171

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/28/2013

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