Provider Demographics
NPI:1316132103
Name:MORGAN, MARTHA ARACELI (LCSW)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:ARACELI
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 CENTRAL AVE W STE 203
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-2874
Mailing Address - Country:US
Mailing Address - Phone:406-216-2227
Mailing Address - Fax:406-216-2495
Practice Address - Street 1:625 CENTRAL AVE W STE 203
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-2874
Practice Address - Country:US
Practice Address - Phone:406-216-2227
Practice Address - Fax:406-216-2495
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT809 LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000070326OtherBLUE CROSS-SHIELD OF MONT