Provider Demographics
NPI:1396882379
Name:MORRIS, BRIJETTE FENELLA (LSW)
Entity type:Individual
Prefix:
First Name:BRIJETTE
Middle Name:FENELLA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:BRIJETE
Other - Middle Name:FENELLA
Other - Last Name:MEDBERRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSW
Mailing Address - Street 1:332 FOX MINE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON CENTER
Mailing Address - State:PA
Mailing Address - Zip Code:16133-1418
Mailing Address - Country:US
Mailing Address - Phone:724-376-4305
Mailing Address - Fax:
Practice Address - Street 1:456 N PITT ST
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-1129
Practice Address - Country:US
Practice Address - Phone:724-662-7202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW124399104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker