Doctor Name: | MR. SCOTT KENNETH MORSE |
NPI Number: | 1104995224 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 1C6637 |
Business Practice Address: | 609 Main St Suite 4 South Portland, ME - 041065453 |
Business Phone Number: | 2073294941 |
Business Fax Number: | 2077615606 |
Mailing Address: | 609 Main St, Suite 4 SOUTH PORTLAND |
State: | ME |
Postal Code: | 041065453 |
Phone Number: | 2073294941 |
Fax Number: | 2077615606 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 08/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1C6637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |