Morris, Stephanie R.

Morris, Stephanie R. is an sole proprietor health care provider with primary practice located at 18 Laurita Gate , Port Jefferson NY 11777-2137. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Morris, Stephanie R. can be contacted via phone (631) 928-3568.

Contact Information

Primary practice address
18 Laurita Gate Port Jefferson NY 11777-2137
Fax: (801) 926-3568
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R043651-1 New York

Profile Details

NPI number 1235288689
LBN Legal business name Morris, Stephanie R.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235288689 NPPES
New York MEDICAID 02124638

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