Provider Demographics
NPI:1215736590
Name:MORRISON, DARCY (CPSW)
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:
Last Name:MORRISON
Suffix:
Gender:
Credentials:CPSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 WASHINGTON ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-2930
Mailing Address - Country:US
Mailing Address - Phone:505-492-8440
Mailing Address - Fax:
Practice Address - Street 1:2131 LEAD AVE SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4007
Practice Address - Country:US
Practice Address - Phone:505-492-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCPSW-1731175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist