Provider Demographics
NPI:1164173878
Name:MORELLI, DONNA L (MSW, JD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:L
Last Name:MORELLI
Suffix:
Gender:F
Credentials:MSW, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 SOUTH ST APT 220
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6817
Mailing Address - Country:US
Mailing Address - Phone:413-446-1192
Mailing Address - Fax:
Practice Address - Street 1:153 SOUTH ST APT 220
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6817
Practice Address - Country:US
Practice Address - Phone:413-446-1192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1030625104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker