Provider Demographics
NPI:1770678195
Name:MORRIS, KAREN MARGARET (LCSW-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARGARET
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 E GUDE DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1360
Mailing Address - Country:US
Mailing Address - Phone:574-250-3963
Mailing Address - Fax:301-460-5668
Practice Address - Street 1:1680 E GUDE DR
Practice Address - Street 2:SUITE 305
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1360
Practice Address - Country:US
Practice Address - Phone:574-250-3963
Practice Address - Fax:301-460-5668
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD203201041C0700X
IN34001654A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000,000,180310OtherBC/BS ID#
IN113501000OtherMAGELLAN ID#
IN169190Medicare ID - Type Unspecified