MEDICARE: LINDA MORTON MSW

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	6801021045	MI

General Provider Information

NPI Number	:	1437187382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA MORTON MSW

Provider Business Mailing Address
First Line	:	4467 CASCADE RD SE
Second Line	:	STE 4481
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-3776
Country	:	US
Telephone Number	:	616-443-0844
Fax Number	:	616-281-0783

Provider Business Practice Location Address
First Line	:	4467 CASCADE RD SE
Second Line	:	STE 4481
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-3776
Country	:	US
Telephone Number	:	616-443-0844
Fax Number	:	616-281-0783

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	08/09/2023

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