1821137324 NPI number — CATHY ANN MORGAN LICSW MSW

Table of content: CATHY ANN MORGAN LICSW MSW (NPI 1821137324)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821137324 NPI number — CATHY ANN MORGAN LICSW MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORGAN
Provider First Name:
CATHY
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LICSW MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HALL
Provider Other First Name:
CATHY
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LICSW MSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1821137324
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7 FEDERAL ST
Provider Second Line Business Mailing Address:
SUITE 35
Provider Business Mailing Address City Name:
DANVERS
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01923
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-828-4255
Provider Business Mailing Address Fax Number:
978-777-8667

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7 FEDERAL ST
Provider Second Line Business Practice Location Address:
SUITE 35
Provider Business Practice Location Address City Name:
DANVERS
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-828-4255
Provider Business Practice Location Address Fax Number:
978-777-8667
Provider Enumeration Date:
02/05/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  1028858 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P07306 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".