MEDICARE: TABITHA MORRIS

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
1	104100000X	Social Worker	LG50081523	DC

General Provider Information

NPI Number	:	1073045639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TABITHA MORRIS

Provider Business Mailing Address
First Line	:	1629 K ST NW STE 300
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20006-1631
Country	:	US
Telephone Number	:	877-607-4325
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 BRANCH AVE APT 137
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-1026
Country	:	US
Telephone Number	:	202-505-1291
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2017
Last Update Date	:	02/05/2025

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