MEDICARE: ALEAH MORGAN MAAS

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	114969	CA

General Provider Information

NPI Number	:	1902381817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEAH MORGAN MAAS

Provider Business Mailing Address
First Line	:	3527 31ST ST APT 1
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-4274
Country	:	US
Telephone Number	:	419-633-2756
Fax Number	:

Provider Business Practice Location Address
First Line	:	3527 31ST ST APT 1
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92104-4274
Country	:	US
Telephone Number	:	419-633-2756
Fax Number	:

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

Provider Enumeration Date	:	09/26/2018
Last Update Date	:	06/19/2023

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