MEDICARE: MRS. MORGAN VAN SCIVER GIRTMAN MSW, 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	33008671A	IN
2	1041C0700X	Clinical Social Worker	34010926A	IN

General Provider Information

NPI Number	:	1578203550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MORGAN VAN SCIVER GIRTMAN MSW, LCSW

Provider Business Mailing Address
First Line	:	4211 DUNEDIN CT
Second Line	:
City	:	WESTFIELD
State	:	IN
Zip	:	46062-7390
Country	:	US
Telephone Number	:	910-297-5403
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 E 96TH ST STE 350
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-3858
Country	:	US
Telephone Number	:	317-798-2160
Fax Number	:

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

Provider Enumeration Date	:	03/29/2022
Last Update Date	:	04/21/2025

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