Provider Demographics
NPI:1235015744
Name:BUCKWALTER, MORGAN (LCSWC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:BUCKWALTER
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 SPRINGHOUSE WAY APT 72
Mailing Address - Street 2:
Mailing Address - City:WILLOW STREET
Mailing Address - State:PA
Mailing Address - Zip Code:17584-8620
Mailing Address - Country:US
Mailing Address - Phone:717-542-8433
Mailing Address - Fax:
Practice Address - Street 1:500 SPRINGHOUSE WAY APT 72
Practice Address - Street 2:
Practice Address - City:WILLOW STREET
Practice Address - State:PA
Practice Address - Zip Code:17584-8620
Practice Address - Country:US
Practice Address - Phone:717-542-8433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0260601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical