Provider Demographics
NPI:1982613147
Name:MORAT, JOANNA ELLIS (MSSW)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:ELLIS
Last Name:MORAT
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 NORTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-6925
Mailing Address - Country:US
Mailing Address - Phone:901-327-4776
Mailing Address - Fax:901-726-4396
Practice Address - Street 1:1835 UNION AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3921
Practice Address - Country:US
Practice Address - Phone:901-726-1284
Practice Address - Fax:901-726-4396
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0008921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical