Individual ProviderEbony MorrisSocial WorkerBehavioral Health & Social Service ProvidersPractice Address320 Vanderbilt Ave Apt 5b, Staten Island, NY 10304-3552(347) 636-8482(718) 356-5100PECOS EnrollmentBased on the most recent information from CMS, provider Ebony Morris does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1295464568Provider TypeIndividualFull NameMorris, EbonyCredentialLPN, LMSWGenderFemaleSole ProprietorNoEnumeration Date6/10/2022Last Updated3/13/2024Contact InformationPractice LocationPractice Address320 Vanderbilt Ave Apt 5b, Staten Island, NY 10304-3552Phone(347) 636-8482FaxUnlisted FaxMailing LocationMailing Address320 Vanderbilt Ave Apt 5b, Staten Island, NY 10304-3552Phone(718) 356-5100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense110814TexasCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense119823New YorkCode164W00000XDescriptionLicensed Practical NurseNursing Service ProvidersLicense332550New York