Provider Demographics
NPI:1427104900
Name:MORROW, MOLLY ANNE (MSW, LMSW)
Entity type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:ANNE
Last Name:MORROW
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 LONGFELLOW AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-3323
Mailing Address - Country:US
Mailing Address - Phone:248-414-3692
Mailing Address - Fax:
Practice Address - Street 1:1315 LONGFELLOW AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-3323
Practice Address - Country:US
Practice Address - Phone:248-414-3692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801083109104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI8008982500OtherBCBSM PIN
MI8008982500OtherBCBSM PIN