Provider Demographics
NPI:1447814728
Name:MORLOCK, BRITTANY ANNE (LSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANNE
Last Name:MORLOCK
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2338 ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:LOCK HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17745-8563
Mailing Address - Country:US
Mailing Address - Phone:570-419-5718
Mailing Address - Fax:
Practice Address - Street 1:60 N 8TH ST
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1446
Practice Address - Country:US
Practice Address - Phone:570-523-4752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW134803104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker