Provider Demographics
NPI:1699941575
Name:MORRISSEY, MARGARET A (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:A
Last Name:MORRISSEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1155 WEST CHESTNUT ST
Mailing Address - Street 2:REAR ANNEX BLDG
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083
Mailing Address - Country:US
Mailing Address - Phone:908-964-9466
Mailing Address - Fax:908-964-1597
Practice Address - Street 1:1155 WEST CHESTNUT ST
Practice Address - Street 2:REAR ANNEX BLDG
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083
Practice Address - Country:US
Practice Address - Phone:908-964-9466
Practice Address - Fax:908-964-1597
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC003936001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ765706Medicare PIN