Provider Demographics
NPI:1891588646
Name:MORRISON, SHAVONNE (MSW)
Entity type:Individual
Prefix:
First Name:SHAVONNE
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3424 FIR ST # 1
Mailing Address - Street 2:
Mailing Address - City:EAST CHICAGO
Mailing Address - State:IN
Mailing Address - Zip Code:46312-2014
Mailing Address - Country:US
Mailing Address - Phone:219-613-3478
Mailing Address - Fax:219-613-3478
Practice Address - Street 1:3424 FIR ST # 1
Practice Address - Street 2:
Practice Address - City:EAST CHICAGO
Practice Address - State:IN
Practice Address - Zip Code:46312-2014
Practice Address - Country:US
Practice Address - Phone:219-613-3478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-24
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker