Provider Demographics
NPI:1790362226
Name:WHITE, MORGAN (LMSW)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3344 CHAMBERS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-1403
Mailing Address - Country:US
Mailing Address - Phone:607-562-6811
Mailing Address - Fax:
Practice Address - Street 1:3344 CHAMBERS RD STE 100
Practice Address - Street 2:
Practice Address - City:HORSEHEADS
Practice Address - State:NY
Practice Address - Zip Code:14845-1403
Practice Address - Country:US
Practice Address - Phone:607-734-2264
Practice Address - Fax:607-734-2932
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2025-12-12
Deactivation Date:2025-03-03
Deactivation Code:
Reactivation Date:2025-11-20
Provider Licenses
StateLicense IDTaxonomies
NY127036104100000X
GARBT-21-150865106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician