Individual provider Active NPI

Morgan Skudarnov, LMSW

  • Social Worker
  • Cumming, GA
National Provider Identifier
1043083207
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
MSW011596 Issued in GA
Practice address
1435 Haw Creek Cir E Ste 403
Cumming, GA 30041-6567
Phone
(678) 834-9274
NPI assigned
Oct 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X MSW011596 GA Primary

Addresses

Primary practice location

1435 Haw Creek Cir E Ste 403
Cumming, GA 30041-6567

Mailing address

972 Oakley LN
Sugar Hill, GA 30518-6330
Phone (470) 345-3372

Other names 1

  • Morgan Guthrie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW011596GAMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1043083207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 OAKLEY LN",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305186330",
            "telephone_number": "470-345-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 HAW CREEK CIR E STE 403",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416567",
            "telephone_number": "678-834-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUDARNOV",
        "first_name": "MORGAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW011596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "GUTHRIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.