MEDICARE: SHENETRA D 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
1	1041C0700X	Clinical Social Worker	57369	TX
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1619605508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHENETRA D MORGAN LCSW

Provider Business Mailing Address
First Line	:	8105 RASOR BLVD STE 110
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-0334
Country	:	US
Telephone Number	:	940-220-0057
Fax Number	:

Provider Business Practice Location Address
First Line	:	7301 STATE HIGHWAY 161 STE 148
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-2803
Country	:	US
Telephone Number	:	940-220-0057
Fax Number	:

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

Provider Enumeration Date	:	08/10/2022
Last Update Date	:	03/26/2026

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