Provider Demographics
NPI:1023229259
Name:MORGAN, LINDA G (MSW, MED, PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:G
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MSW, MED, PHD
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2711 MECHANICS AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-4519
Mailing Address - Country:US
Mailing Address - Phone:585-576-3954
Mailing Address - Fax:
Practice Address - Street 1:2711 MECHANICS AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-4519
Practice Address - Country:US
Practice Address - Phone:585-576-3954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074411-11041C0700X
GACSW0038961041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker