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NPI Code Detail

MEDICARE: MRS. MORGAN HONICKEL LCSW

MEDICARE: MRS. MORGAN HONICKEL LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904008378VA

General Provider Information

NPI Number : 1053614933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MORGAN HONICKEL LCSW
Provider Business Mailing Address
First Line : 25 S UNION ST
Second Line :
City : PETERSBURG
State : VA
Zip : 23803-4221
Country : US
Telephone Number : 804-957-9601
Fax Number :
Provider Business Practice Location Address
First Line : 25 S UNION ST
Second Line :
City : PETERSBURG
State : VA
Zip : 23803-4221
Country : US
Telephone Number : 804-957-9601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2010
Last Update Date : 03/19/2025

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