=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780551747
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOHN MORRIS SR.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/22/2025
-----------------------------------------------------
Last Update Date | 10/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3966 WARRENSVILLE CENTER RD
-----------------------------------------------------
City | WARRENSVILLE HEIGHTS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44122-6770
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-340-5086
-----------------------------------------------------
Fax | 440-340-5035
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9939 DARROW PARK DR APT 118K
-----------------------------------------------------
City | TWINSBURG
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44087-1499
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-348-9625
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | S.2512604
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------