Provider Demographics
NPI:1437265824
Name:MORGAN, JOAN LORRAINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:LORRAINE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:L
Other - Last Name:BARTHOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2227 YOST ROAD
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:PA
Mailing Address - Zip Code:18014
Mailing Address - Country:US
Mailing Address - Phone:610-759-8497
Mailing Address - Fax:610-759-7870
Practice Address - Street 1:25 LLANFAIR CIRCLE
Practice Address - Street 2:SENIOR BEHAVIORAL HEALTHCARE GROUP INC
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-3342
Practice Address - Country:US
Practice Address - Phone:610-649-6769
Practice Address - Fax:610-649-4190
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0129981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1560074Medicaid
PA1560074Medicaid