Healthcare Provider Details

I. General information

NPI: 1275203614
Provider Name (Legal Business Name): JAIME LYNN MORSE MA, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2021
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15030 VENTURA BLVD #11 SUITE 145
LOS ANGELES CA
91403
US

IV. Provider business mailing address

15030 VENTURA BLVD. #11 SUITE 145 91403
SHERMAN OAKS CA
91403
US

V. Phone/Fax

Practice location:
  • Phone: 805-410-3297
  • Fax:
Mailing address:
  • Phone: 805-410-3297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number138883
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number138883
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: