Healthcare Provider Details

I. General information

NPI: 1043874233
Provider Name (Legal Business Name): SHAKIRAH MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 DELAWARE ST STE 212
HISTORIC NEW CASTLE DE
19720-4855
US

IV. Provider business mailing address

1130 OGLETOWN RD STE 2 PMB# 2673
NEWARK DE
19711-5689
US

V. Phone/Fax

Practice location:
  • Phone: 302-208-9222
  • Fax:
Mailing address:
  • Phone: 856-655-8444
  • Fax: 877-497-3077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0012571
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06232000
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW009936
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: