Provider Demographics
NPI:1932491677
Name:HITTNER-ASHWELL, MORGAN CLAIRE (LICSW)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:CLAIRE
Last Name:HITTNER-ASHWELL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16180 HASTINGS AVE SE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PRIOR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55372-9227
Mailing Address - Country:US
Mailing Address - Phone:952-443-4600
Mailing Address - Fax:952-440-4601
Practice Address - Street 1:16180 HASTINGS AVE SE
Practice Address - Street 2:SUITE 205
Practice Address - City:PRIOR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55372-9227
Practice Address - Country:US
Practice Address - Phone:952-443-4600
Practice Address - Fax:952-440-4601
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN205831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical