Provider Demographics
NPI:1770325797
Name:MORRISON, EVA J (MSSW, LICSW)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:J
Last Name:MORRISON
Suffix:
Gender:
Credentials:MSSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 RAYMOND AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1164
Mailing Address - Country:US
Mailing Address - Phone:651-358-2227
Mailing Address - Fax:
Practice Address - Street 1:970 RAYMOND AVE STE 106
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1164
Practice Address - Country:US
Practice Address - Phone:651-359-2227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN279021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical