Healthcare Provider Details

I. General information

NPI: 1396660361
Provider Name (Legal Business Name): MORGEN PASS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGEN CALCATERRA

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 W PRAIRIE ST
MARION IL
62959-2069
US

IV. Provider business mailing address

301 S WALL ST
CARBONDALE IL
62901-3240
US

V. Phone/Fax

Practice location:
  • Phone: 618-252-9036
  • Fax: 618-216-9993
Mailing address:
  • Phone: 618-252-9036
  • Fax: 618-216-9993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number2668785
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150117308
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: