Provider Demographics
NPI:1598456345
Name:MIERZWA-WINTERS, MORGAN T (MSW)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:T
Last Name:MIERZWA-WINTERS
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:T
Other - Last Name:WINTERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:61 SPIT BROOK RD STE 202
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-5614
Mailing Address - Country:US
Mailing Address - Phone:603-821-0008
Mailing Address - Fax:603-554-8617
Practice Address - Street 1:61 SPIT BROOK RD STE 202
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5614
Practice Address - Country:US
Practice Address - Phone:603-821-0008
Practice Address - Fax:603-554-8617
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker