Provider Demographics
NPI:1053874677
Name:MORRISON, LAURA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 SEDGEFIELD ST APT A
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4271
Mailing Address - Country:US
Mailing Address - Phone:919-599-4449
Mailing Address - Fax:
Practice Address - Street 1:901 SEDGEFIELD ST APT A
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4271
Practice Address - Country:US
Practice Address - Phone:919-599-4449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040108641041C0700X
NCC0120321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical