Healthcare Provider Details

I. General information

NPI: 1912186859
Provider Name (Legal Business Name): SHERI L MORRIS MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2007
Last Update Date: 10/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ROCKLYN DR
WEST SIMSBURY CT
06092-2629
US

IV. Provider business mailing address

3 ROCKLYN DR
WEST SIMSBURY CT
06092-2629
US

V. Phone/Fax

Practice location:
  • Phone: 860-658-1108
  • Fax: 860-658-5440
Mailing address:
  • Phone: 860-658-1108
  • Fax: 860-658-5440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number001028
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: