Provider Demographics
NPI:1881797272
Name:MORRALL, LAURA (MSW ; LICSW)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:MORRALL
Suffix:
Gender:F
Credentials:MSW ; LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 LITTLE FARMS RD
Mailing Address - Street 2:(1ST FLOOR)
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3420
Mailing Address - Country:US
Mailing Address - Phone:508-820-6669
Mailing Address - Fax:508-481-2609
Practice Address - Street 1:281 PLEASANT ST.
Practice Address - Street 2:(1ST FLOOR)
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-3420
Practice Address - Country:US
Practice Address - Phone:508-820-6669
Practice Address - Fax:508-481-2609
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1017881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA665741OtherTUFTS GRP
MA023255000OtherMAGELLAN GRP
MA1859901Medicaid
MAP01580OtherP01580,BCBS MA