Provider Demographics
NPI:1871641233
Name:MORELLA, DONNA A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:A
Last Name:MORELLA
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 1:24 PINE ST
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1811
Mailing Address - Country:US
Mailing Address - Phone:908-766-3346
Mailing Address - Fax:908-766-7261
Practice Address - Street 1:24 PINE ST
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1811
Practice Address - Country:US
Practice Address - Phone:908-766-3346
Practice Address - Fax:908-766-7261
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC027641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical