Provider Demographics
NPI:1881818169
Name:MORGAN, NORENA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:NORENA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12033 AGENCY RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:AZ
Mailing Address - Zip Code:85344-7718
Mailing Address - Country:US
Mailing Address - Phone:928-669-3371
Mailing Address - Fax:928-669-3311
Practice Address - Street 1:12033 AGENCY RD
Practice Address - Street 2:PARKER INDIAN HEALTH SERVICES
Practice Address - City:PARKER
Practice Address - State:AZ
Practice Address - Zip Code:85344-7718
Practice Address - Country:US
Practice Address - Phone:928-669-3371
Practice Address - Fax:928-669-3311
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC-11589101Y00000X
NMM-06587104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ02050072Medicaid