Provider Demographics
NPI:1225722416
Name:BUMGARNER, MORGAN (MSW, LSW)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:BUMGARNER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 NORTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BEXLEY
Mailing Address - State:OH
Mailing Address - Zip Code:43209-1051
Mailing Address - Country:US
Mailing Address - Phone:571-229-6982
Mailing Address - Fax:
Practice Address - Street 1:800 CROSS POINTE RD # 800D
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-6687
Practice Address - Country:US
Practice Address - Phone:614-835-6068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2105947104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker