MEDICARE: TIMOTHY CHARNER MORRIS 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	1041C0700X	Clinical Social Worker	20290	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	005932	OTHER	TX	BLUE CROSS

General Provider Information

NPI Number	:	1538270400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY CHARNER MORRIS LCSW

Provider Business Mailing Address
First Line	:	2115 STEPHENS PL STE 400I
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-2167
Country	:	US
Telephone Number	:	830-606-5016
Fax Number	:	830-608-0323

Provider Business Practice Location Address
First Line	:	2115 STEPHENS PL STE 400I
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-2167
Country	:	US
Telephone Number	:	830-606-5016
Fax Number	:	830-608-0323

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	02/26/2024

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