Provider Demographics
NPI:1841589892
Name:MORALES, GEORGE (LMSW)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:
Last Name:MORALES
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-8806
Mailing Address - Country:US
Mailing Address - Phone:212-475-0056
Mailing Address - Fax:212-423-7804
Practice Address - Street 1:1901 FIRST AVE
Practice Address - Street 2:METROPOLITAN HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-423-7385
Practice Address - Fax:212-423-7804
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073137-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker