Provider Demographics
NPI:1851286470
Name:SHEW, MORGAN (CASAC ADVANCED)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:SHEW
Suffix:
Gender:F
Credentials:CASAC ADVANCED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11112 FAIRCHILD RD
Mailing Address - Street 2:
Mailing Address - City:REMSEN
Mailing Address - State:NY
Mailing Address - Zip Code:13438-3439
Mailing Address - Country:US
Mailing Address - Phone:315-269-5081
Mailing Address - Fax:315-269-5081
Practice Address - Street 1:1213 COURT ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-3803
Practice Address - Country:US
Practice Address - Phone:315-624-9835
Practice Address - Fax:315-624-9835
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY34940101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)