Provider Demographics
NPI:1982824454
Name:MORRIS, ELIZABETH A (MSW)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:E
Other - Middle Name:JENNIFER
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:9 HAWTHORNE PL
Mailing Address - Street 2:APT. 4E
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2344
Mailing Address - Country:US
Mailing Address - Phone:617-227-0868
Mailing Address - Fax:617-474-3853
Practice Address - Street 1:2100 DORCHESTER AVE
Practice Address - Street 2:
Practice Address - City:DORCHESTER CENTER
Practice Address - State:MA
Practice Address - Zip Code:02124-5615
Practice Address - Country:US
Practice Address - Phone:617-296-4012
Practice Address - Fax:617-474-3853
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1037661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical