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NPI Code Detail

MEDICARE: AMELIE MORGAN LCSW

MEDICARE:   AMELIE  MORGAN  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
1104100000XSocial Worker150101569IL
21041C0700XClinical Social Worker149.020051IL

General Provider Information

NPI Number : 1558710483
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIE MORGAN LCSW
Provider Business Mailing Address
First Line : 3234 N CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-5896
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3234 N CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-5896
Country : US
Telephone Number : 314-973-6899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2016
Last Update Date : 03/17/2018

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