Healthcare Provider Details

I. General information

NPI: 1144662446
Provider Name (Legal Business Name): KATHLEEN ANDREA MORRILL LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. KATHLEEN ANDREA SWIKOSKI

II. Dates (important events)

Enumeration Date: 07/27/2013
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S US HIGHWAY 131
THREE RIVERS MI
49093-8831
US

IV. Provider business mailing address

601 JOHN STREET BOX 42
KALAMAZOO MI
49007
US

V. Phone/Fax

Practice location:
  • Phone: 269-286-7070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801095854
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: