MEDICARE: MS. CHERYL LYNN MORRIS LCSW

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	SW11969	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SW11969	OTHER	FL	STATE OF FLORIDA DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1336413863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHERYL LYNN MORRIS LCSW

Provider Business Mailing Address
First Line	:	2402 COUNTRY POND CT
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8866
Country	:	US
Telephone Number	:	845-313-7292
Fax Number	:

Provider Business Practice Location Address
First Line	:	2402 COUNTRY POND CT
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8866
Country	:	US
Telephone Number	:	845-313-7292
Fax Number	:

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

Provider Enumeration Date	:	03/01/2012
Last Update Date	:	09/17/2024

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