Provider Demographics
NPI:1952740029
Name:MORRISON, GRACE ELLEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GRACE
Middle Name:ELLEN
Last Name:MORRISON
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 1:6 GARFIELD PL
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-3018
Mailing Address - Country:US
Mailing Address - Phone:516-366-8010
Mailing Address - Fax:
Practice Address - Street 1:998 CROOKED HILL ROAD
Practice Address - Street 2:BUILDING 5
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717
Practice Address - Country:US
Practice Address - Phone:631-901-7038
Practice Address - Fax:631-787-2653
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR028692-11041C0700X
NYR0286921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical