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NPI Code Detail

MEDICARE: JADA NICOLE MORRISEY MSW, LCSWA

MEDICARE: JADA NICOLE MORRISEY MSW, LCSWA
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
11041C0700XClinical Social WorkerP018083NC

General Provider Information

NPI Number : 1528776929
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADA NICOLE MORRISEY MSW, LCSWA
Provider Business Mailing Address
First Line : 7940 WILLIAMS POND LN STE 150
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-8409
Country : US
Telephone Number : 704-237-4240
Fax Number : 704-785-8304
Provider Business Practice Location Address
First Line : 7940 WILLIAMS POND LN STE 150
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-8409
Country : US
Telephone Number : 704-237-4240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2022
Last Update Date : 02/07/2023

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