Provider Demographics
NPI:1942265129
Name:MORRIS, REGAN E (LCSW,CAP, LICW-CP)
Entity Type:Individual
Prefix:MS
First Name:REGAN
Middle Name:E
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LCSW,CAP, LICW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 E HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON AFB
Mailing Address - State:SC
Mailing Address - Zip Code:29404-5014
Mailing Address - Country:US
Mailing Address - Phone:843-963-3559
Mailing Address - Fax:
Practice Address - Street 1:105 E HILL BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON AFB
Practice Address - State:SC
Practice Address - Zip Code:29404-5014
Practice Address - Country:US
Practice Address - Phone:843-963-3559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC115611041C0700X
FLSW4649104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical