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NPI Code Detail

MEDICARE: KAREN EILEEN MORRIS LCSW

MEDICARE: KAREN EILEEN MORRIS 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 WorkerTPSW2693FL
21041C0700XClinical Social WorkerLC22128ME
31041C0700XClinical Social Worker0904002590VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1256404OTHERVAANTHEM BC BS

General Provider Information

NPI Number : 1407926892
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN EILEEN MORRIS LCSW
Provider Business Mailing Address
First Line : 8270 WILLOW OAKS CORPORATE DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4511
Country : US
Telephone Number : 571-423-4300
Fax Number :
Provider Business Practice Location Address
First Line : 8270 WILLOW OAKS CORPORATE DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4511
Country : US
Telephone Number : 571-423-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 04/13/2023

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