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NPI Code Detail

MEDICARE: NICHOLAS R MORGAN LCSW

MEDICARE: NICHOLAS 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
11041C0700XClinical Social WorkerLSW0000007894TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LSW0000007894OTHERTNSTATE LICENSE

General Provider Information

NPI Number : 1780349589
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS R MORGAN LCSW
Provider Business Mailing Address
First Line : 9825 RISING RIDGE WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37931-3835
Country : US
Telephone Number : 812-430-3608
Fax Number :
Provider Business Practice Location Address
First Line : 6000 WALDEN DR STE 102
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-6364
Country : US
Telephone Number : 812-430-3608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2021
Last Update Date : 10/05/2023

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