Healthcare Provider Details

I. General information

NPI: 1669384301
Provider Name (Legal Business Name): CAITLIN MORGAN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 CURLEW DR
AMMON ID
83406-4718
US

IV. Provider business mailing address

1675 CURLEW DR
AMMON ID
83406-4718
US

V. Phone/Fax

Practice location:
  • Phone: 208-523-5319
  • Fax: 208-523-5627
Mailing address:
  • Phone: 208-523-5319
  • Fax: 208-523-5627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number9671587
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: