Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 RACQUETTE DR
FORT COLLINS CO
80524-4851
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 970-310-3406
  • Fax: 888-965-4615
Mailing address:
  • Phone: 402-658-9591
  • Fax: 402-658-9591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLMSW-22314
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009927729
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: