Provider Demographics
NPI:1881982528
Name:MORSE, ELAINE (LCSW)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:MORSE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 OSGOOD HILL RD
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05494-9736
Mailing Address - Country:US
Mailing Address - Phone:802-377-3631
Mailing Address - Fax:
Practice Address - Street 1:525 HERCULES DR STE 1A
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-8113
Practice Address - Country:US
Practice Address - Phone:802-377-3631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.00746801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1019708Medicaid
VT1019708Medicaid