=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699127803
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANITA MICHELLE MORRIS MSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/12/2016
-----------------------------------------------------
Last Update Date | 05/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3431 W SPRUCE AVE
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93711-0611
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-288-6434
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3431 W. SPRUCE AVENUE
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-353-3000
-----------------------------------------------------
Fax | 559-353-5286
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | LCSW82819
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------