MEDICARE: MORGAN GLADDING

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

General Provider Information

NPI Number	:	1487145157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN GLADDING

Provider Business Mailing Address
First Line	:	6826 STATE ROUTE 534
Second Line	:
City	:	WINDSOR
State	:	OH
Zip	:	44099-8706
Country	:	US
Telephone Number	:	440-537-0766
Fax Number	:

Provider Business Practice Location Address
First Line	:	3681 GREEN RD
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5726
Country	:	US
Telephone Number	:	216-342-5484
Fax Number	:

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

Provider Enumeration Date	:	05/29/2018
Last Update Date	:	07/20/2021

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Directions to “ MORGAN GLADDING ” Practice Location

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