Provider Demographics
NPI:1568837292
Name:MCMORRIS, JESSICA DENISE (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:DENISE
Last Name:MCMORRIS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1494 MEMORIAL DR SE
Mailing Address - Street 2:APT C-1
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30317-1814
Mailing Address - Country:US
Mailing Address - Phone:770-468-7416
Mailing Address - Fax:
Practice Address - Street 1:1494 MEMORIAL DR SE
Practice Address - Street 2:APT C-1
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30317-1814
Practice Address - Country:US
Practice Address - Phone:770-468-7416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0043461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical