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NPI Code Detail

MEDICARE: DONNA L MORSE LCSW

MEDICARE: DONNA L MORSE 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
11041C0700XClinical Social Worker5000LA
21041C0700XClinical Social Worker8373-CAR

Other Identifiers

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

General Provider Information

NPI Number : 1689724064
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA L MORSE LCSW
Provider Business Mailing Address
First Line : PO BOX 1589
Second Line :
City : BENTON
State : AR
Zip : 72018-1589
Country : US
Telephone Number : 501-303-3105
Fax Number :
Provider Business Practice Location Address
First Line : 218 DOGWOOD HOLLOW RD
Second Line :
City : MOUNTAIN VIEW
State : AR
Zip : 72560-7942
Country : US
Telephone Number : 501-315-3344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 07/21/2022

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