Provider Demographics
NPI:1013155290
Name:MORRIS, PATRICIA JUDITH (MSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:JUDITH
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 COLUMBIA TURNPIKE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1212
Mailing Address - Country:US
Mailing Address - Phone:973-765-2050
Mailing Address - Fax:973-765-0195
Practice Address - Street 1:256 COLUMBIA TURNPIKE
Practice Address - Street 2:SUITE 105
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1212
Practice Address - Country:US
Practice Address - Phone:973-765-2050
Practice Address - Fax:973-765-0195
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC005333001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
655011Medicare UPIN
649415Medicare PIN