Provider Demographics
NPI:1972548501
Name:MORRIGAN, DILLON BROOKE (LCSW)
Entity Type:Individual
Prefix:
First Name:DILLON
Middle Name:BROOKE
Last Name:MORRIGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:
Other - Last Name:MORRIGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2202 RICHLAND PL
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2331
Mailing Address - Country:US
Mailing Address - Phone:202-319-7160
Mailing Address - Fax:
Practice Address - Street 1:8830 CAMERON ST
Practice Address - Street 2:SUITE 207
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4114
Practice Address - Country:US
Practice Address - Phone:202-329-7160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD144571041C0700X
DC500785651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
197929OtherPTAN