MEDICARE: MS. TANESHA R 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	091772	NY

General Provider Information

NPI Number	:	1639697857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TANESHA R MORGAN LCSW

Provider Business Mailing Address
First Line	:	3301 SEYMOUR AVE
Second Line	:	APT 1
City	:	BRONX
State	:	NY
Zip	:	10469
Country	:	US
Telephone Number	:	34723737502
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 SEYMOUR AVE APT 1
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-2935
Country	:	US
Telephone Number	:	347-237-3750
Fax Number	:

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

Provider Enumeration Date	:	09/07/2017
Last Update Date	:	02/17/2025

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