Provider Demographics
NPI:1205941689
Name:BARRON MORSE, CECILLE STELLA (LCSW)
Entity type:Individual
Prefix:
First Name:CECILLE
Middle Name:STELLA
Last Name:BARRON MORSE
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 1:609 MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-5453
Mailing Address - Country:US
Mailing Address - Phone:207-773-1032
Mailing Address - Fax:207-761-5606
Practice Address - Street 1:609 MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:S PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106
Practice Address - Country:US
Practice Address - Phone:207-773-1032
Practice Address - Fax:207-761-5606
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2008-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC68291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME313060000Medicaid
258282OtherMHN
ME048254OtherANTHEM
2232432OtherCIGNA
2232432OtherCIGNA