MEDICARE: ELIZABETH MORRISON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	082587	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	WVE061	OTHER	NY	AGENCY MEDICARE ID#

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1285628552	OTHER	NY	AGENCY NPI #

General Provider Information

NPI Number	:	1245543396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MORRISON

Provider Business Mailing Address
First Line	:	244 MADISON AVE # 1254
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-2817
Country	:	US
Telephone Number	:	914-659-4212
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 CROCKETT ST
Second Line	:
City	:	NORWALK
State	:	CT
Zip	:	06853-1611
Country	:	US
Telephone Number	:	914-659-4212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2010
Last Update Date	:	06/14/2021

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