MEDICARE: MRS. JODIE TAYLOR MORGAN MASTER'S

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	1041C0700X	Clinical Social Worker	003962	SC
2	106H00000X	Marriage & Family Therapist	0159	SC

General Provider Information

NPI Number	:	1275652588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JODIE TAYLOR MORGAN MASTER'S

Provider Business Mailing Address
First Line	:	257 HOBCAW DR
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-2568
Country	:	US
Telephone Number	:	843-884-3340
Fax Number	:

Provider Business Practice Location Address
First Line	:	1233 BEN SAWYER BLVD
Second Line	:	SUITE 700
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-4577
Country	:	US
Telephone Number	:	843-884-3332
Fax Number	:

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	09/11/2025

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