Provider Demographics
NPI:1275645244
Name:MORTON, CAREN MELINDA (LCSW-ACP, OT)
Entity Type:Individual
Prefix:
First Name:CAREN
Middle Name:MELINDA
Last Name:MORTON
Suffix:
Gender:F
Credentials:LCSW-ACP, OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 W 6TH ST
Mailing Address - Street 2:SUITE 234
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-4773
Mailing Address - Country:US
Mailing Address - Phone:512-632-1023
Mailing Address - Fax:
Practice Address - Street 1:1717 W 6TH ST
Practice Address - Street 2:SUITE 234
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-4773
Practice Address - Country:US
Practice Address - Phone:512-632-1023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX362381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical