MEDICARE: EMILY ELIZABETH MORRIS

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	:	1528536976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ELIZABETH MORRIS

Provider Business Mailing Address
First Line	:	4002 NAKOOSA TRL
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53714-1314
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4002 NAKOOSA TRL
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53714-1314
Country	:	US
Telephone Number	:	608-241-9447
Fax Number	:

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

Provider Enumeration Date	:	11/04/2018
Last Update Date	:	02/07/2019

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