MEDICARE: ALICIA MORANT MSW

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	SW15981	FL

General Provider Information

NPI Number	:	1538304845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA MORANT MSW

Provider Business Mailing Address
First Line	:	901 45TH ST
Second Line	:	INSTITUTE OF MENTAL HEALTH
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2413
Country	:	US
Telephone Number	:	561-882-9118
Fax Number	:	561-882-6104

Provider Business Practice Location Address
First Line	:	2640 FOREST HILL BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-5931
Country	:	US
Telephone Number	:	561-616-8411
Fax Number	:

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

Provider Enumeration Date	:	12/16/2008
Last Update Date	:	03/03/2020

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