Healthcare Provider Details

I. General information

NPI: 1174871941
Provider Name (Legal Business Name): ALICIA MORRELL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALICIA HOLDER

II. Dates (important events)

Enumeration Date: 08/27/2012
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 ACADEMY RD NE
ALBUQUERQUE NM
87111-1107
US

IV. Provider business mailing address

8600 ACADEMY RD NE
ALBUQUERQUE NM
87111-1107
US

V. Phone/Fax

Practice location:
  • Phone: 505-821-3628
  • Fax:
Mailing address:
  • Phone: 505-821-3628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-08288
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: