Provider Demographics
NPI:1003903774
Name:MORRIS, CHRISTINA P (LICENSED CLINICAL SO)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:P
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LICENSED CLINICAL SO
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:M
Other - Last Name:PIIZZAIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:300 TALBOT ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3525
Mailing Address - Country:US
Mailing Address - Phone:410-822-1018
Mailing Address - Fax:410-820-5884
Practice Address - Street 1:300 TALBOT ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3525
Practice Address - Country:US
Practice Address - Phone:410-822-1018
Practice Address - Fax:410-820-5884
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD145251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
517251OtherUHC MAMSI
MD259147000OtherMAGELLAN GROUP
MD609550001Medicaid
R968OtherCAREFIRST FEDERAL GROUP
MDLM49EAOtherCAREFIRST BCBS
MD742LMedicare ID - Type Unspecified