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NPI Code Detail

MEDICARE: MR. JAMES MIDFORD MORRISON MSSW

MEDICARE: MR. JAMES MIDFORD MORRISON MSSW
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
11041C0700XClinical Social Worker34001721AIN
21041C0700XClinical Social Worker252148KY

General Provider Information

NPI Number : 1295849974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES MIDFORD MORRISON MSSW
Provider Business Mailing Address
First Line : PO BOX 790
Second Line :
City : ASHLAND
State : KY
Zip : 41105-0790
Country : US
Telephone Number : 606-329-8588
Fax Number : 606-329-8195
Provider Business Practice Location Address
First Line : 201 22ND ST
Second Line : PATHWAYS MENTAL HEALTH
City : ASHLAND
State : KY
Zip : 41101-7803
Country : US
Telephone Number : 304-429-6741
Fax Number : 304-429-0287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 09/18/2020

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