Provider Demographics
NPI:1720235559
Name:MORALES, ADALBERTO SR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ADALBERTO
Middle Name:
Last Name:MORALES
Suffix:SR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 MCKINLEY DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-1454
Mailing Address - Country:US
Mailing Address - Phone:917-975-0103
Mailing Address - Fax:
Practice Address - Street 1:22 MCKINLEY DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-1454
Practice Address - Country:US
Practice Address - Phone:917-975-0103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-22
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1261061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical