Provider Demographics
NPI:1194857557
Name:MORRISH, ROBERT ELROD (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ELROD
Last Name:MORRISH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1569 CEDAR WAY
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-5212
Mailing Address - Country:US
Mailing Address - Phone:530-673-4110
Mailing Address - Fax:530-673-4110
Practice Address - Street 1:1141 GRAY AVE
Practice Address - Street 2:SUITE C
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3208
Practice Address - Country:US
Practice Address - Phone:530-671-2614
Practice Address - Fax:530-673-4110
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 63981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical