Provider Demographics
NPI:1174399521
Name:STEBBINS, MORGAN (LMSW, LP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:STEBBINS
Suffix:
Gender:M
Credentials:LMSW, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 BIRD LN
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10524-3736
Mailing Address - Country:US
Mailing Address - Phone:845-558-0608
Mailing Address - Fax:845-558-0608
Practice Address - Street 1:40 BIRD LN
Practice Address - Street 2:
Practice Address - City:GARRISON
Practice Address - State:NY
Practice Address - Zip Code:10524-3736
Practice Address - Country:US
Practice Address - Phone:845-558-0608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000847102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst