Provider Demographics
NPI:1689702896
Name:MORSE, PATRICIA S (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:S
Last Name:MORSE
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 CENTRAL DR.
Mailing Address - Street 2:
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723-9646
Mailing Address - Country:US
Mailing Address - Phone:828-227-7112
Mailing Address - Fax:
Practice Address - Street 1:286 CENTRAL DR.
Practice Address - Street 2:
Practice Address - City:CULLOWHEE
Practice Address - State:NC
Practice Address - Zip Code:28723-9646
Practice Address - Country:US
Practice Address - Phone:828-227-7112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0040831041C0700X
LA8571041C0700X
LA02563R2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
R14244Medicare UPIN
LA55530Medicare ID - Type Unspecified