Healthcare Provider Details

I. General information

NPI: 1437403946
Provider Name (Legal Business Name): WILLIAM LAWRENCE MORGAN LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2012
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 SEAVIEW AVE
STATEN ISLAND NY
10305-3409
US

IV. Provider business mailing address

8219 247TH ST
BELLEROSE NY
11426-1716
US

V. Phone/Fax

Practice location:
  • Phone: 718-946-2600
  • Fax:
Mailing address:
  • Phone: 917-480-6201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number097719-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number082631
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: