MEDICARE: MARTHA ARACELI MORGAN 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	1041C0700X	Clinical Social Worker	809 LCSW	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000070326	OTHER	MT	BLUE CROSS-SHIELD OF MONT

General Provider Information

NPI Number	:	1316132103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA ARACELI MORGAN LCSW

Provider Business Mailing Address
First Line	:	625 CENTRAL AVE W STE 203
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-2874
Country	:	US
Telephone Number	:	406-216-2227
Fax Number	:	406-216-2495

Provider Business Practice Location Address
First Line	:	625 CENTRAL AVE W STE 203
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-2874
Country	:	US
Telephone Number	:	406-216-2227
Fax Number	:	406-216-2495

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

Provider Enumeration Date	:	09/13/2007
Last Update Date	:	03/02/2023

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