Healthcare Provider Details

I. General information

NPI: 1417565375
Provider Name (Legal Business Name): TAMI MORLOCK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 THAGGARD LN
PARKTON NC
28371-6500
US

IV. Provider business mailing address

97 THAGGARD LN
PARKTON NC
28371-6500
US

V. Phone/Fax

Practice location:
  • Phone: 910-302-8648
  • Fax: 910-312-5146
Mailing address:
  • Phone: 910-302-8648
  • Fax: 910-312-5146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC017222
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: