Provider Demographics
NPI:1376685933
Name:MORGAN, ARI DESILVA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ARI
Middle Name:DESILVA
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ARI
Other - Middle Name:DESILVA
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:139 15 CRONSTON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694
Mailing Address - Country:US
Mailing Address - Phone:718-634-4427
Mailing Address - Fax:718-634-4427
Practice Address - Street 1:139 15 CRONSTON AVE
Practice Address - Street 2:
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694
Practice Address - Country:US
Practice Address - Phone:718-634-4427
Practice Address - Fax:718-634-4427
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR04590711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
106481Medicare UPIN