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NPI Code Detail

MEDICARE: MORGAN GOVERNALE

MEDICARE:   MORGAN  GOVERNALE
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
1104100000XSocial Worker222897MA
21041C0700XClinical Social Worker09927853CO

General Provider Information

NPI Number : 1982129334
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN GOVERNALE
Provider Business Mailing Address
First Line : 7 VINTAGE CT
Second Line :
City : MIDDLE ISLAND
State : NY
Zip : 11953-1272
Country : US
Telephone Number : 631-495-6470
Fax Number :
Provider Business Practice Location Address
First Line : 460 S MARION PKWY
Second Line :
City : DENVER
State : CO
Zip : 80209-2544
Country : US
Telephone Number : 631-495-6470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2017
Last Update Date : 11/15/2021

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