Healthcare Provider Details

I. General information

NPI: 1427736776
Provider Name (Legal Business Name): BRYAN MORGAN LCSW, LCADC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 RTE 34
MATAWAN NJ
07747-3469
US

IV. Provider business mailing address

1070 RTE 34 STE 211
MATAWAN NJ
07747-3469
US

V. Phone/Fax

Practice location:
  • Phone: 908-600-0864
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SC06483700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00411200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: