Provider Demographics
NPI:1184755415
Name:MORRIS, CHARLES S (LCSW)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:S
Last Name:MORRIS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:C.
Other - Middle Name:STEPHEN
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:15 LARCHMONT RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2412
Mailing Address - Country:US
Mailing Address - Phone:828-424-5646
Mailing Address - Fax:
Practice Address - Street 1:15 LARCHMONT RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2412
Practice Address - Country:US
Practice Address - Phone:828-424-5646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0003391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical