Healthcare Provider Details

I. General information

NPI: 1669873485
Provider Name (Legal Business Name): MORGANNE OWENS CAGS, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8270 WILLOW OAKS CORPORATE DR # 3014
FAIRFAX VA
22031-4530
US

IV. Provider business mailing address

1201 WILSON BLVD FL 9
ARLINGTON VA
22209-2300
US

V. Phone/Fax

Practice location:
  • Phone: 571-423-4250
  • Fax:
Mailing address:
  • Phone: 703-280-3122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number0813000797
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberPPS-0603548
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904008252
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW017056
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: