National Provider Identifier

Morgan Wadsworth

Morgan Wadsworth is listed in the NPPES registry with a primary specialty of Peer Specialist in Lyons, NY and a listed phone number of (315) 946-5750.

NPI 1013507672Lyons, NYPeer Specialist

Profile Overview

NPI
1013507672
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
January 19, 2021
Last Updated
January 19, 2021

Practice Location

  • 1519 Nye RD
  • Lyons, NY 14489-9133

Phone: (315) 946-5750

Mailing Address

  • 116 Prospect St
  • Newark, NY 14513-1842

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1013507672
Entity Type
Individual
Last Name
Wadsworth
First Name
Morgan
Mailing Street Address
116 Prospect St
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1842
Mailing Country
US
Mailing Phone
(315) 871-8885
Practice Street Address
1519 Nye RD
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9133
Practice Country
US
Practice Phone
(315) 946-5750
Enumeration Date
January 19, 2021
Last Updated
January 19, 2021
Sex
Female
Sole Proprietor
No
Certification Date
January 19, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)