MEDICARE: MS. GERALDINE E MORGAN 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	314000000X	Skilled Nursing Facility	SW14111	FL
2	1041C0700X	Clinical Social Worker	SW 14111	FL
3	1041C0700X	Clinical Social Worker	CW017337	PA
4	1041C0700X	Clinical Social Worker	44SC05549000	NJ
5	1041C0700X	Clinical Social Worker
6	310400000X	Assisted Living Facility	44SC05549000	NJ
7	310400000X	Assisted Living Facility	SW14111	FL
8	311500000X	Alzheimer Center (Dementia Center)	44SC05549000	NJ
9	311Z00000X	Custodial Care Facility	44SC05549000	NJ
10	311Z00000X	Custodial Care Facility	SW14111	FL
11	313M00000X	Nursing Facility/Intermediate Care Facility	44SC05549000	NJ
12	313M00000X	Nursing Facility/Intermediate Care Facility	SW14111	FL
13	314000000X	Skilled Nursing Facility	44SC05549000	NJ

General Provider Information

NPI Number	:	1477653640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GERALDINE E MORGAN LCSW

Provider Business Mailing Address
First Line	:	PO BOX 51521
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34232-0312
Country	:	US
Telephone Number	:	941-549-0221
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 S TAMIAMI TRL STE 202
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-7818
Country	:	US
Telephone Number	:	941-549-0221
Fax Number	:

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	12/05/2017

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