MEDICARE: MRS. MORGAN KATHLEEN ROBINSON LSW

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	104100000X	Social Worker	150109521	IL

General Provider Information

NPI Number	:	1609586825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MORGAN KATHLEEN ROBINSON LSW

Provider Business Mailing Address
First Line	:	1260 W WASHINGTON ST
Second Line	:
City	:	PITTSFIELD
State	:	IL
Zip	:	62363-1655
Country	:	US
Telephone Number	:	217-285-4436
Fax Number	:	217-285-2804

Provider Business Practice Location Address
First Line	:	1260 W WASHINGTON ST
Second Line	:
City	:	PITTSFIELD
State	:	IL
Zip	:	62363-1655
Country	:	US
Telephone Number	:	217-285-4436
Fax Number	:	217-285-2804

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

Provider Enumeration Date	:	11/29/2022
Last Update Date	:	05/07/2026

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