Provider Demographics
NPI:1710363478
Name:MORRISSEY, KAYLIN LYDIA (LCSW)
Entity Type:Individual
Prefix:
First Name:KAYLIN
Middle Name:LYDIA
Last Name:MORRISSEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 NEW RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1537
Mailing Address - Country:US
Mailing Address - Phone:800-461-8262
Mailing Address - Fax:
Practice Address - Street 1:1909 NEW RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1537
Practice Address - Country:US
Practice Address - Phone:800-461-8262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055617001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical