Provider Demographics
NPI:1902407042
Name:MORRIS, KATHARINE GIGUERE (LICSW)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:GIGUERE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LICSW
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 242
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05663-0242
Mailing Address - Country:US
Mailing Address - Phone:802-498-8384
Mailing Address - Fax:
Practice Address - Street 1:358 BAILEY RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:VT
Practice Address - Zip Code:05663-6078
Practice Address - Country:US
Practice Address - Phone:802-498-8384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.01343381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical