Provider Demographics
NPI:1073681581
Name:MORGAN MCCLAIN, EMILY (MSW, LISW-CP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MORGAN MCCLAIN
Suffix:
Gender:F
Credentials:MSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 BUIST AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-4603
Mailing Address - Country:US
Mailing Address - Phone:864-232-0689
Mailing Address - Fax:864-232-0689
Practice Address - Street 1:218 BUIST AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-4603
Practice Address - Country:US
Practice Address - Phone:864-232-0689
Practice Address - Fax:864-232-0689
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC64841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical