Healthcare Provider Details

I. General information

NPI: 1194997882
Provider Name (Legal Business Name): MORGAN ELIZABETH WARDWELL LCSW, CART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2008
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 E 10TH AVE
EUGENE OR
97401-3255
US

IV. Provider business mailing address

32316 GODDARD LN
COTTAGE GROVE OR
97424-9325
US

V. Phone/Fax

Practice location:
  • Phone: 541-913-1153
  • Fax:
Mailing address:
  • Phone: 541-913-1153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number37612
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: