MEDICARE: MRS. MICHELLE LYNN MORRISON 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	2727	OK

General Provider Information

NPI Number	:	1376786103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE LYNN MORRISON LCSW

Provider Business Mailing Address
First Line	:	468903 E. 780 RD
Second Line	:
City	:	STILWELL
State	:	OK
Zip	:	74960
Country	:	US
Telephone Number	:	918-207-0378
Fax Number	:	918-207-1661

Provider Business Practice Location Address
First Line	:	223 S COLLEGE AVE
Second Line	:
City	:	TAHLEQUAH
State	:	OK
Zip	:	74464-3817
Country	:	US
Telephone Number	:	918-507-0711
Fax Number	:	918-207-1661

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

Provider Enumeration Date	:	04/09/2009
Last Update Date	:	12/22/2025

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