Provider Demographics
NPI:1194016337
Name:MORRIS, MELINDA (MSW)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:3801 3RD ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-1409
Mailing Address - Country:US
Mailing Address - Phone:415-970-3800
Mailing Address - Fax:415-970-3855
Practice Address - Street 1:3801 3RD ST
Practice Address - Street 2:SUITE 400
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-1409
Practice Address - Country:US
Practice Address - Phone:415-970-3800
Practice Address - Fax:415-970-3855
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW242171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical