Healthcare Provider Details

I. General information

NPI: 1285562447
Provider Name (Legal Business Name): MORGAN MARIE MERRITT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4657 S LAKESHORE DR STE 1
TEMPE AZ
85282-7170
US

IV. Provider business mailing address

10455 E VIA LINDA APT 107
SCOTTSDALE AZ
85258-9202
US

V. Phone/Fax

Practice location:
  • Phone: 480-718-1261
  • Fax:
Mailing address:
  • Phone: 402-658-9591
  • Fax: 402-658-9591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLMSW-22314
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: