MEDICARE: JUDITH LOMBARD MORSE MSW, 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	C000358	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	81617	OTHER	NC	BCBSNC

General Provider Information

NPI Number	:	1962457085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH LOMBARD MORSE MSW, LCSW

Provider Business Mailing Address
First Line	:	223 FEARRINGTON POST
Second Line	:
City	:	PITTSBORO
State	:	NC
Zip	:	27312-8555
Country	:	US
Telephone Number	:	919-280-4049
Fax Number	:

Provider Business Practice Location Address
First Line	:	1829 E FRANKLIN ST
Second Line	:	SUITE 100A
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-5861
Country	:	US
Telephone Number	:	919-280-4049
Fax Number	:

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	05/13/2014

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