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General NPI Number Information
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NPI Number | 1063937605
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Entity Type | Individual
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Provider Name | SUSAN ANN MORGENSTEIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 150 E 58TH ST FL 21
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City | NEW YORK
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State | NY
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Zip | 10155-0002
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Country | US
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Telephone | 646-535-1298
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Fax |
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Provider Business Mailing Address
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Address Line | 325 E 79TH ST APT 11B
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City | NEW YORK
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State | NY
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Zip | 10075-0983
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Country | US
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Telephone | 212-737-3979
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 047055
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 092494
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License Number State | NY
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