Provider Demographics
NPI:1316504657
Name:BOWEN MORSE, KATELYN HANNAH (LMSW)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:HANNAH
Last Name:BOWEN MORSE
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 1:2730 LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:SC
Mailing Address - Zip Code:29670-8811
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:204 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:SC
Practice Address - Zip Code:29670-1308
Practice Address - Country:US
Practice Address - Phone:864-383-1996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2023-12-19
Deactivation Date:2023-11-10
Deactivation Code:
Reactivation Date:2023-12-01
Provider Licenses
StateLicense IDTaxonomies
SC16029104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker