Provider Demographics
NPI:1982466090
Name:MORILLO, DANIELA CAROLINA
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:CAROLINA
Last Name:MORILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SANDIE POINT LN
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-1152
Mailing Address - Country:US
Mailing Address - Phone:201-755-8096
Mailing Address - Fax:
Practice Address - Street 1:4 SANDIE POINT LN
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-1152
Practice Address - Country:US
Practice Address - Phone:201-755-8096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical