Provider Demographics
NPI:1588011159
Name:MORRISON, JAMIE A (LICSW/LCSW)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:A
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LICSW/LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 DENMARK RD
Mailing Address - Street 2:
Mailing Address - City:DENMARK
Mailing Address - State:ME
Mailing Address - Zip Code:04022-5106
Mailing Address - Country:US
Mailing Address - Phone:781-971-2209
Mailing Address - Fax:
Practice Address - Street 1:975 DENMARK RD
Practice Address - Street 2:
Practice Address - City:DENMARK
Practice Address - State:ME
Practice Address - Zip Code:04022-5106
Practice Address - Country:US
Practice Address - Phone:781-971-2209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC216901041C0700X
FLSW162281041C0700X
NH31111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical