Provider Demographics
NPI:1891469995
Name:MORGAN, THERESE MARJORIE (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:THERESE
Middle Name:MARJORIE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 WARBURTON AVE APT 2G
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1614
Mailing Address - Country:US
Mailing Address - Phone:914-963-9377
Mailing Address - Fax:
Practice Address - Street 1:709 WARBURTON AVE APT 2G
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1614
Practice Address - Country:US
Practice Address - Phone:914-963-9377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109715-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker