Healthcare Provider Details

I. General information

NPI: 1952408338
Provider Name (Legal Business Name): DONALD R. MORRISON JR. LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 MORLAKE DR STE 202B
MOORESVILLE NC
28117-9528
US

IV. Provider business mailing address

116 MORLAKE DR STE 202B
MOORESVILLE NC
28117-9528
US

V. Phone/Fax

Practice location:
  • Phone: 704-737-2142
  • Fax:
Mailing address:
  • Phone: 704-737-2142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC005450
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: