MEDICARE: MICHELLE MORRIS 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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1134368806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE MORRIS LCSW

Provider Business Mailing Address
First Line	:	790 HANOVER ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010-3947
Country	:	US
Telephone Number	:	719-588-8186
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 E PRENTICE AVE STE B2
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2726
Country	:	US
Telephone Number	:	719-588-8186
Fax Number	:

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

Provider Enumeration Date	:	02/19/2009
Last Update Date	:	05/30/2019

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