Provider Demographics
NPI:1174310676
Name:ANDERSON, MORGAN LEIGH (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LEIGH
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 NICOLE LN APT 6B
Mailing Address - Street 2:
Mailing Address - City:RIVER FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54022-3467
Mailing Address - Country:US
Mailing Address - Phone:608-320-9948
Mailing Address - Fax:
Practice Address - Street 1:350 NICOLE LN APT 6B
Practice Address - Street 2:
Practice Address - City:RIVER FALLS
Practice Address - State:WI
Practice Address - Zip Code:54022-3467
Practice Address - Country:US
Practice Address - Phone:608-320-9948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN312131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical