Provider Demographics
NPI:1104204312
Name:MORROW, STEPHEN (MSW)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:MORROW
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2506 WILLOWBROOK PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-1564
Mailing Address - Country:US
Mailing Address - Phone:317-650-4752
Mailing Address - Fax:317-217-1769
Practice Address - Street 1:2506 WILLOWBROOK PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-1564
Practice Address - Country:US
Practice Address - Phone:317-650-4752
Practice Address - Fax:317-217-1769
Is Sole Proprietor?:No
Enumeration Date:2015-05-08
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN86000239A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)