Provider Demographics
NPI:1255657508
Name:NAMASTE, MORRI LIEBERMAN (MSW)
Entity Type:Individual
Prefix:MR
First Name:MORRI
Middle Name:LIEBERMAN
Last Name:NAMASTE
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 1:978 S PENNSYLVANIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4139
Mailing Address - Country:US
Mailing Address - Phone:303-748-1293
Mailing Address - Fax:
Practice Address - Street 1:978 S PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4139
Practice Address - Country:US
Practice Address - Phone:303-748-1293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9895701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical