Healthcare Provider Details

I. General information

NPI: 1649186305
Provider Name (Legal Business Name): MORGAN LADUCA LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 SUGAR MAPLE LN
BENNINGTON VT
05201-8437
US

IV. Provider business mailing address

107 SUGAR MAPLE LN
BENNINGTON VT
05201-8437
US

V. Phone/Fax

Practice location:
  • Phone: 908-675-2146
  • Fax:
Mailing address:
  • Phone: 908-675-2146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number089.0136452
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: