Healthcare Provider Details

I. General information

NPI: 1578477188
Provider Name (Legal Business Name): JACQUELINE MORRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3810 ROSIN CT STE 170
SACRAMENTO CA
95834-1658
US

IV. Provider business mailing address

3810 ROSIN CT STE 170
SACRAMENTO CA
95834-1658
US

V. Phone/Fax

Practice location:
  • Phone: 915-567-4222
  • Fax: 916-567-4220
Mailing address:
  • Phone: 915-567-4222
  • Fax: 916-567-4220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: