Organization Active NPI

Morgan Therapeutic Services, LLC

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1730367046
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13368 Issued in MD
Legal business name
MORGAN THERAPEUTIC SERVICES, LLC
Practice address
9672 Pennsylvania Ave
Upper Marlboro, MD 20772-3670
Phone
(301) 806-3615
Fax
(301) 574-5249
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Mrs. Shiresse Morgan Brewington, MSW, LCSW-C
Title
Executive Director/Owner
Phone
(301) 806-3615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 13368 MD Primary

Addresses

Primary practice location

9672 Pennsylvania Ave
Upper Marlboro, MD 20772-3670

Mailing address

8910 Fairhaven Ave
Upper Marlboro, MD 20772-5130
Phone (301) 806-3615

Other identifiers 1

IdentifierTypeStateIssuer
1841482882OtherMDINDIVIDUAL PROVIDER IDENTIFIER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1730367046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 FAIRHAVEN AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725130",
            "telephone_number": "301-806-3615",
            "fax_number": "301-574-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9672 PENNSYLVANIA AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723670",
            "telephone_number": "301-806-3615",
            "fax_number": "301-574-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "BREWINGTON",
        "authorized_official_first_name": "SHIRESSE",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "301-806-3615",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER IDENTIFIER NUMBER",
            "identifier": "1841482882",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.