MEDICARE: KIT 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	097993	NY

General Provider Information

NPI Number	:	1659902468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIT MORGAN LCSW

Provider Business Mailing Address
First Line	:	1936 SARANAC AVE #3 PMB 428
Second Line	:
City	:	LAKE PLACID
State	:	NY
Zip	:	12946
Country	:	US
Telephone Number	:	518-956-4214
Fax Number	:

Provider Business Practice Location Address
First Line	:	1936 SARANAC AVE
Second Line	:
City	:	LAKE PLACID
State	:	NY
Zip	:	12946-1114
Country	:	US
Telephone Number	:	518-956-4214
Fax Number	:

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

Provider Enumeration Date	:	01/30/2020
Last Update Date	:	07/29/2024

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