Provider Demographics
NPI:1972728848
Name:HOLZMAN, MORRISSA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MORRISSA
Middle Name:
Last Name:HOLZMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37467 BEAR MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-8401
Mailing Address - Country:US
Mailing Address - Phone:559-641-2460
Mailing Address - Fax:
Practice Address - Street 1:37467 BEAR MEADOW RD
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-8401
Practice Address - Country:US
Practice Address - Phone:559-641-2460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS104211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical