Healthcare Provider Details

I. General information

NPI: 1972006187
Provider Name (Legal Business Name): KATELYNN ONIE ASHLEY MORRIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATIE ONIE ASHLEY DEPEW

II. Dates (important events)

Enumeration Date: 03/14/2018
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 RANDOLPH DR
PALM COAST FL
32164-6816
US

IV. Provider business mailing address

105 RANDOLPH DR
PALM COAST FL
32164-6816
US

V. Phone/Fax

Practice location:
  • Phone: 386-318-2245
  • Fax:
Mailing address:
  • Phone: 386-318-2245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW25620
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2106923
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: