Provider Demographics
NPI:1114459450
Name:MCCAFFREY, DENISE MORGAN (LCSW)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MORGAN
Last Name:MCCAFFREY
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:R
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, LCSW
Mailing Address - Street 1:2059 E PASS RD STE 8
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39507-3761
Mailing Address - Country:US
Mailing Address - Phone:228-335-9898
Mailing Address - Fax:228-460-9343
Practice Address - Street 1:2059 E PASS RD STE 8
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39507-3761
Practice Address - Country:US
Practice Address - Phone:228-335-9898
Practice Address - Fax:228-460-9343
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-28
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC80051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical