Provider Demographics
NPI:1154710382
Name:MORSE, CHRISTOPHER (LCSW, MVF-ASW)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:MORSE
Suffix:
Gender:M
Credentials:LCSW, MVF-ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BLACK HILL RD
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06374-1404
Mailing Address - Country:US
Mailing Address - Phone:401-578-1981
Mailing Address - Fax:
Practice Address - Street 1:25 BLACK HILL RD
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:CT
Practice Address - Zip Code:06374-1404
Practice Address - Country:US
Practice Address - Phone:401-578-1981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT86301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical