Healthcare Provider Details

I. General information

NPI: 1407343312
Provider Name (Legal Business Name): MORGAN SZARFINSKI CLARK MSW, CSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2018
Last Update Date: 07/16/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 WILLAGILLESPIE RD
EUGENE OR
97401-2112
US

IV. Provider business mailing address

2773 BAILEY LN
EUGENE OR
97401-5290
US

V. Phone/Fax

Practice location:
  • Phone: 541-263-7519
  • Fax:
Mailing address:
  • Phone: 781-534-0351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA12096
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: