Provider Demographics
NPI:1093759029
Name:MORLEY, GAYLE A (LCSW-R)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:A
Last Name:MORLEY
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:GAYLE
Other - Middle Name:
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:11 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:EDMESTON
Mailing Address - State:NY
Mailing Address - Zip Code:13335
Mailing Address - Country:US
Mailing Address - Phone:607-965-6930
Mailing Address - Fax:607-965-6931
Practice Address - Street 1:11 NORTH ST
Practice Address - Street 2:
Practice Address - City:EDMESTON
Practice Address - State:NY
Practice Address - Zip Code:13335
Practice Address - Country:US
Practice Address - Phone:607-965-6930
Practice Address - Fax:607-965-6931
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR045912-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical