Provider Demographics
NPI:1205316643
Name:MORGAN, JULIE TOTH (MSW)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:TOTH
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:TOTH-MORGAN
Other - Last Name:BARR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:423 MOROSS RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-2940
Mailing Address - Country:US
Mailing Address - Phone:586-306-3620
Mailing Address - Fax:
Practice Address - Street 1:12800 E WARREN AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48215-2061
Practice Address - Country:US
Practice Address - Phone:313-308-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011028761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical