Provider Demographics
NPI:1659419240
Name:MORRIS, DANIEL ADAM (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ADAM
Last Name:MORRIS
Suffix:
Gender:M
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 1:399 ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1001
Mailing Address - Country:US
Mailing Address - Phone:585-546-5180
Mailing Address - Fax:585-546-5954
Practice Address - Street 1:399 ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1001
Practice Address - Country:US
Practice Address - Phone:585-546-5180
Practice Address - Fax:585-546-5954
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR028691-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7646437OtherAETNA LIFE INSURANCE COMP
NY7646437OtherAETNA LIFE INSURANCE COMP