Provider Demographics
NPI:1528480787
Name:MORRISON, CHARLES ANTHONY (LMSW)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:ANTHONY
Last Name:MORRISON
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16350 BLANCO RD
Mailing Address - Street 2:111
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3339
Mailing Address - Country:US
Mailing Address - Phone:210-330-8561
Mailing Address - Fax:
Practice Address - Street 1:16350 BLANCO RD
Practice Address - Street 2:111
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3339
Practice Address - Country:US
Practice Address - Phone:210-330-8561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37449104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker