Provider Demographics
NPI:1174517866
Name:MORALIS, SHONDA BEAR (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHONDA
Middle Name:BEAR
Last Name:MORALIS
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 1:1450 GREENE HILL CT
Mailing Address - Street 2:
Mailing Address - City:KUTZTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19530-8410
Mailing Address - Country:US
Mailing Address - Phone:484-225-3574
Mailing Address - Fax:
Practice Address - Street 1:1450 GREENE HILL CT
Practice Address - Street 2:
Practice Address - City:KUTZTOWN
Practice Address - State:PA
Practice Address - Zip Code:19530-8410
Practice Address - Country:US
Practice Address - Phone:484-225-3574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0147301041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical