Healthcare Provider Details

I. General information

NPI: 1144835497
Provider Name (Legal Business Name): MORGAN JUDITH ORICK BSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E WILSON BRIDGE RD STE 250
WORTHINGTON OH
43085-2397
US

IV. Provider business mailing address

1920 MARY DELL LN
DELAWARE OH
43015-4416
US

V. Phone/Fax

Practice location:
  • Phone: 614-598-6363
  • Fax:
Mailing address:
  • Phone: 614-598-6363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number0060921
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number0060921
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: