Provider Demographics
NPI:1699341610
Name:MORIN, AIMEE (LCSW)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:MORIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 LEAVENWORTH ST # 1902
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-5925
Mailing Address - Country:US
Mailing Address - Phone:785-553-9566
Mailing Address - Fax:860-774-0826
Practice Address - Street 1:500 LEAVENWORTH ST # 1902
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-5925
Practice Address - Country:US
Practice Address - Phone:785-553-9566
Practice Address - Fax:860-774-0826
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-01
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT132511041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker