Provider Demographics
NPI:1952408338
Name:MORRISON, DONALD R JR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:R
Last Name:MORRISON
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:106 LANGTREE VILLAGE DR STE 301
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-7594
Mailing Address - Country:US
Mailing Address - Phone:704-737-2142
Mailing Address - Fax:
Practice Address - Street 1:106 LANGTREE VILLAGE DR STE 301
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-7594
Practice Address - Country:US
Practice Address - Phone:704-737-2142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0054501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106469Medicaid