Provider Demographics
NPI:1477038891
Name:GADEGBEKU-MORRIS, HENRIETTE E (LCSW, CAADC)
Entity Type:Individual
Prefix:MS
First Name:HENRIETTE
Middle Name:E
Last Name:GADEGBEKU-MORRIS
Suffix:
Gender:F
Credentials:LCSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 GREENS BRANCH LN
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1021
Mailing Address - Country:US
Mailing Address - Phone:302-632-2394
Mailing Address - Fax:
Practice Address - Street 1:182 FOX HOLLOW DR
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:DE
Practice Address - Zip Code:19962-2751
Practice Address - Country:US
Practice Address - Phone:302-202-9657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-02
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00016601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty