Provider Demographics
NPI:1790887859
Name:MORSE, EMILY E (LCSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:E
Last Name:MORSE
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 1:87 LANE AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-1213
Mailing Address - Country:US
Mailing Address - Phone:207-776-9490
Mailing Address - Fax:207-210-6550
Practice Address - Street 1:63 OCEAN ST
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2828
Practice Address - Country:US
Practice Address - Phone:207-776-9490
Practice Address - Fax:207-210-6550
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2018-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC10286101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME431878699Medicaid
MEME1911Medicare ID - Type Unspecified