Provider Demographics
NPI:1821137324
Name:MORGAN, CATHY ANN (LICSW MSW)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:ANN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LICSW MSW
Other - Prefix:MRS
Other - First Name:CATHY
Other - Middle Name:ANN
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW MSW
Mailing Address - Street 1:7 FEDERAL ST
Mailing Address - Street 2:SUITE 35
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923
Mailing Address - Country:US
Mailing Address - Phone:978-828-4255
Mailing Address - Fax:978-777-8667
Practice Address - Street 1:7 FEDERAL ST
Practice Address - Street 2:SUITE 35
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923
Practice Address - Country:US
Practice Address - Phone:978-828-4255
Practice Address - Fax:978-777-8667
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10288581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P07306OtherBLUE CROSS BLUE SHIELD