Provider Demographics
NPI:1679291157
Name:MORGAN, JEAN HAIG (LSW)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:HAIG
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HOVER DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07856-1019
Mailing Address - Country:US
Mailing Address - Phone:609-828-0996
Mailing Address - Fax:
Practice Address - Street 1:11 HOVER DR
Practice Address - Street 2:
Practice Address - City:MOUNT ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07856-1019
Practice Address - Country:US
Practice Address - Phone:609-828-0996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL04650500104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker