Provider Demographics
NPI:1598456345
Name:MIERZWA-WINTERS, MORGAN T (MSW)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:T
Last Name:MIERZWA-WINTERS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:T
Other - Last Name:WINTERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:11 KIMBALL DR STE 104&105
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-2603
Mailing Address - Country:US
Mailing Address - Phone:603-824-3555
Mailing Address - Fax:
Practice Address - Street 1:11 KIMBALL DR STE 104&105
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-2603
Practice Address - Country:US
Practice Address - Phone:603-824-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker