Provider Demographics
NPI:1730221946
Name:MORRIS, CYNTHIA A (MSW LISW)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:A
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MSW LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:691 NORTH HIGH STREET
Mailing Address - Street 2:SUITE 303
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1583
Mailing Address - Country:US
Mailing Address - Phone:614-228-7887
Mailing Address - Fax:
Practice Address - Street 1:691 NORTH HIGH STREET
Practice Address - Street 2:SUITE 303
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1583
Practice Address - Country:US
Practice Address - Phone:614-228-7887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLISWI00018011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOSW10741Medicare ID - Type Unspecified