Provider Demographics
NPI:1275182990
Name:MORALES, LUCELENIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LUCELENIA
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LUCY
Other - Middle Name:
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:20 BATTERSON PARK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-4500
Mailing Address - Country:US
Mailing Address - Phone:860-284-1177
Mailing Address - Fax:860-284-1125
Practice Address - Street 1:20 BATTERSON PARK RD STE 300
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-4500
Practice Address - Country:US
Practice Address - Phone:860-284-1177
Practice Address - Fax:860-284-1125
Is Sole Proprietor?:No
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT107551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical