MEDICARE: STACEY MORSCH BS

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	104100000X	Social Worker
2	171M00000X	Case Manager/Care Coordinator

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	184607	OTHER	KY	MEDICARE GROUP NUMBER

General Provider Information

NPI Number	:	1437195948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACEY MORSCH BS

Provider Business Mailing Address
First Line	:	4629 AICHOLTZ RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-1551
Country	:	US
Telephone Number	:	859-394-4217
Fax Number	:

Provider Business Practice Location Address
First Line	:	4633 AICHOLTZ RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-1447
Country	:	US
Telephone Number	:	859-394-4217
Fax Number	:

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	10/08/2024

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