Provider Demographics
NPI:1972767598
Name:MORGAN, AMY SUSANNE (MED, MS, MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:SUSANNE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MED, MS, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 SMITH GRAVEYARD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-9655
Mailing Address - Country:US
Mailing Address - Phone:773-259-3393
Mailing Address - Fax:
Practice Address - Street 1:70 WOODFIN PL
Practice Address - Street 2:SUITE 04
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2463
Practice Address - Country:US
Practice Address - Phone:773-259-3393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-13
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0131371041C0700X
NCC0077721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical