Provider Demographics
NPI:1508212994
Name:MORELLI, SOPHIA (LCSW, LAADC)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:
Last Name:MORELLI
Suffix:
Gender:F
Credentials:LCSW, LAADC
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 6336
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92878-6336
Mailing Address - Country:US
Mailing Address - Phone:951-207-6868
Mailing Address - Fax:
Practice Address - Street 1:18520 1/2 PIONEER BLVD
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-5597
Practice Address - Country:US
Practice Address - Phone:888-420-0589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-04
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA701851041C0700X
CAASW701851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical