Provider Demographics
NPI:1063931160
Name:BAUGHMAN, MORGAN LEE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:LEE
Last Name:BAUGHMAN
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 1:25295 MARCELLUS HWY
Mailing Address - Street 2:
Mailing Address - City:DOWAGIAC
Mailing Address - State:MI
Mailing Address - Zip Code:49047-9469
Mailing Address - Country:US
Mailing Address - Phone:269-208-2696
Mailing Address - Fax:
Practice Address - Street 1:25295 MARCELLUS HWY
Practice Address - Street 2:
Practice Address - City:DOWAGIAC
Practice Address - State:MI
Practice Address - Zip Code:49047-9469
Practice Address - Country:US
Practice Address - Phone:269-208-2696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-11
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802089605104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker