Provider Demographics
NPI:1912007444
Name:MORHART, PATRICE (LICSW)
Entity Type:Individual
Prefix:
First Name:PATRICE
Middle Name:
Last Name:MORHART
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:PATRICE
Other - Middle Name:
Other - Last Name:MUNTZNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27 FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2046
Mailing Address - Country:US
Mailing Address - Phone:413-275-6190
Mailing Address - Fax:
Practice Address - Street 1:50 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4127
Practice Address - Country:US
Practice Address - Phone:413-584-6855
Practice Address - Fax:413-585-1355
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1105941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP22500Medicare ID - Type Unspecified