Morgan Rian Widerman, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23085 Issued in MD

Practice address

11140 Rockville Pike
Rockville, MD 20852-3106

Phone

(443) 302-9716

NPI assigned

Jun 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Morgan Dawn Halstead Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quirky Brain, LLC

  • Clinical Social Worker
  • Rockville, MD
  • NPI 1861175911
  NPD Authorized official

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1104486216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE",
            "address_2": "SUITE 100 #371",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523106",
            "telephone_number": "443-302-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDERMAN",
        "first_name": "MORGAN",
        "middle_name": "RIAN",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "HALSTEAD",
            "middle_name": "DAWN",
            "credential": "LCSW-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Whittles, CCC-SLP
• Abdul Whyte
• Tiffany Whyte
• Maggie Wicker
• Roddrick Wideman
• Patricia A Wiedeman-Stone, PT, P.T.
• Shirley Ester Wietlisbach, MS/OTR
• Quatavia Wigenton
• Landon Wigg, LGPC
• Jason Ross Wiggins

• Clinical Social Worker in Rockville, MD
• Providers in Rockville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.