Provider Demographics
NPI:1245250588
Name:MORLEY, SANDRA SUE-JONES (LMSW)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:SUE-JONES
Last Name:MORLEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 SCOTT CT
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-1934
Mailing Address - Country:US
Mailing Address - Phone:517-265-3740
Mailing Address - Fax:
Practice Address - Street 1:1200 E MICHIGAN AVE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1800
Practice Address - Country:US
Practice Address - Phone:517-364-5330
Practice Address - Fax:517-364-5335
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010460761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION39640Medicare UPIN