Healthcare Provider Details

I. General information

NPI: 1083878706
Provider Name (Legal Business Name): MARCELA CECILIA MORGAN LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2008
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVE, NW ATTN: MCHL- SW BUILDING 6
WASHINGTON DC
20307-5001
US

IV. Provider business mailing address

6900 GEORGIA AVE, NW ATTN: MCHL- SW BUILDING 6
WASHINGTON DC
20307-5001
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-6378
  • Fax: 202-782-4922
Mailing address:
  • Phone: 202-782-6378
  • Fax: 202-782-4922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number28075
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12177
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: