MEDICARE: JODI MORGAN THARAN, MSW, LSWAIC

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	SWIA.SC.70086299	WA

General Provider Information

NPI Number	:	1528996709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODI MORGAN THARAN, MSW, LSWAIC

Provider Business Mailing Address
First Line	:	1300 MAHOGANY AVE APT 132
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-8423
Country	:	US
Telephone Number	:	510-367-5267
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 MAHOGANY AVE APT 132
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-8423
Country	:	US
Telephone Number	:	510-367-5267
Fax Number	:

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

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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