Healthcare Provider Details

I. General information

NPI: 1992729800
Provider Name (Legal Business Name): DANIEL MICHAEL MORGENBESSER MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 KNOLLCROFT RD
LYONS NJ
07939-5001
US

IV. Provider business mailing address

3512 NEW HAMPSHIRE AVE
EASTON PA
18045-8120
US

V. Phone/Fax

Practice location:
  • Phone: 908-647-0180
  • Fax:
Mailing address:
  • Phone: 610-559-8592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberGRANDFATHERED
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: