Provider Demographics
NPI:1669921383
Name:MORRIS, MARISSA (LSW)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 S 9TH ST
Mailing Address - Street 2:APT B
Mailing Address - City:AKRON
Mailing Address - State:PA
Mailing Address - Zip Code:17501-1495
Mailing Address - Country:US
Mailing Address - Phone:484-894-4108
Mailing Address - Fax:
Practice Address - Street 1:239 W PHILADELPHIA ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-6509
Practice Address - Country:US
Practice Address - Phone:717-845-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW133907104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker