Healthcare Provider Details

I. General information

NPI: 1699277806
Provider Name (Legal Business Name): STRANGE' RENEE MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2018
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 CAMERON VILLAGE DR APT 107
MATTHEWS NC
28105-8455
US

IV. Provider business mailing address

815 CAMERON VILLAGE DR APT 107
MATTHEWS NC
28105-8455
US

V. Phone/Fax

Practice location:
  • Phone: 704-247-4240
  • Fax:
Mailing address:
  • Phone: 704-237-4240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP021803
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: