Provider Demographics
NPI:1801850516
Name:MORRISSETTE, ARTHUR FRANCIS (LCSW)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:FRANCIS
Last Name:MORRISSETTE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:ART
Other - Middle Name:
Other - Last Name:MORRISSETTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:80 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-2228
Mailing Address - Country:US
Mailing Address - Phone:207-286-2282
Mailing Address - Fax:207-286-2283
Practice Address - Street 1:333 LINCOLN ST
Practice Address - Street 2:SUITE 136
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-3113
Practice Address - Country:US
Practice Address - Phone:207-286-2282
Practice Address - Fax:207-286-2283
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 106H00000X
MELC57491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
022535OtherANTHEM
017807OtherHARVARD PILGRIM
ME423690000Medicaid
ME423690000Medicaid