Provider Demographics
NPI:1457834699
Name:MORRIS, STEPHANIE K (LCSW)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:K
Last Name:MORRIS
Suffix:
Gender:F
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:PO BOX 2314
Mailing Address - Street 2:
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91610-0314
Mailing Address - Country:US
Mailing Address - Phone:747-245-5822
Mailing Address - Fax:
Practice Address - Street 1:3400 CAHUENGA BLVD W APT 107
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-1579
Practice Address - Country:US
Practice Address - Phone:747-245-5822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-13
Last Update Date:2021-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1019961041C0700X
MN246131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical