Provider Demographics
NPI:1790117612
Name:MORRISON, WILLIAM TODD (LCSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:TODD
Last Name:MORRISON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1171 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-2335
Mailing Address - Country:US
Mailing Address - Phone:706-310-0043
Mailing Address - Fax:706-613-3293
Practice Address - Street 1:1171 WINDSOR DR
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-2335
Practice Address - Country:US
Practice Address - Phone:706-310-0043
Practice Address - Fax:706-613-3293
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACWS0047641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical