MEDICARE: DR. ROSE MORGAN-WOODY ED.D., LPC,LSW LICDC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	943864	OH
2	101YP2500X	Professional Counselor	C0500254	OH
3	104100000X	Social Worker	S500570	OH

General Provider Information

NPI Number	:	1376775460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSE MORGAN-WOODY ED.D., LPC,LSW LICDC

Provider Business Mailing Address
First Line	:	9075 CENTRE POINTE DR.
Second Line	:	SUITE 450
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-6731
Country	:	US
Telephone Number	:	513-772-9900
Fax Number	:	513-772-9500

Provider Business Practice Location Address
First Line	:	9075 CENTRE POINTE DR.
Second Line	:	SUITE 450
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-6731
Country	:	US
Telephone Number	:	513-772-9900
Fax Number	:	513-772-9500

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

Provider Enumeration Date	:	08/22/2009
Last Update Date	:	04/26/2010

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