Provider Demographics
NPI:1407034853
Name:MORGAN, KARA M (MS, MSW, LSW)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:M
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MS, MSW, LSW
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:MICHELLE
Other - Last Name:COOMBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, MSW, LSW
Mailing Address - Street 1:1401 W GREEN ST
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61821-3822
Mailing Address - Country:US
Mailing Address - Phone:217-549-6072
Mailing Address - Fax:
Practice Address - Street 1:1401 W GREEN ST
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61821-3822
Practice Address - Country:US
Practice Address - Phone:217-549-6072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL150.103283104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health