MEDICARE: MARTHA MORGAN LCSW LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1417880410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTHA MORGAN LCSW LLC

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	:	406-781-8137
Fax Number	:

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	:	406-781-8137
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARTHA MORGAN
Credential	:	LCSW
Telephone Number	:	406-781-8137

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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