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NPI Code Detail

MEDICARE: MS. TRACY A MORRISSEY LCSW

MEDICARE: MS. TRACY A MORRISSEY 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 Worker3149KY
21041C0700XClinical Social WorkerC-09621NM
31041C0700XClinical Social Worker9720-CNV

General Provider Information

NPI Number : 1235362484
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACY A MORRISSEY LCSW
Provider Business Mailing Address
First Line : 702 N. 13TH STREET
Second Line :
City : ARTESIA
State : NM
Zip : 88210-1166
Country : US
Telephone Number : 575-748-3333
Fax Number :
Provider Business Practice Location Address
First Line : 1820 E WARM SPRINGS RD STE 140
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4593
Country : US
Telephone Number : 702-779-3956
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2009
Last Update Date : 10/06/2023

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Directions to “ MS. TRACY A MORRISSEY LCSW” Practice Location

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