Provider Demographics
NPI:1386399517
Name:MORRIS, EMILY (MSSW, LCSWA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MSSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3806 UNIVERSITY DR APT 146
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6873
Mailing Address - Country:US
Mailing Address - Phone:912-245-1723
Mailing Address - Fax:
Practice Address - Street 1:1816 FRONT ST STE 250
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2598
Practice Address - Country:US
Practice Address - Phone:919-382-0288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0172971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP017297OtherNCSWCLB