Provider Demographics
NPI:1801004700
Name:MORSE, CATHERINE A (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
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:PO BOX 84
Mailing Address - Street 2:
Mailing Address - City:PENOBSCOT
Mailing Address - State:ME
Mailing Address - Zip Code:04476-0084
Mailing Address - Country:US
Mailing Address - Phone:207-469-5176
Mailing Address - Fax:
Practice Address - Street 1:173 PIERCES POND RD
Practice Address - Street 2:
Practice Address - City:PENOBSCOT
Practice Address - State:ME
Practice Address - Zip Code:04476-3812
Practice Address - Country:US
Practice Address - Phone:207-469-5176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC21621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME236370099Medicaid