Healthcare Provider Details

I. General information

NPI: 1699127803
Provider Name (Legal Business Name): ANITA MICHELLE MORRIS MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2016
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3431 W SPRUCE AVE
FRESNO CA
93711-0611
US

IV. Provider business mailing address

3431 W. SPRUCE AVENUE
FRESNO CA
93711
US

V. Phone/Fax

Practice location:
  • Phone: 559-288-6434
  • Fax:
Mailing address:
  • Phone: 559-353-3000
  • Fax: 559-353-5286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW82819
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: