Active NPI
Melissa Ann Morse, LSW
- Clinical Social Worker
- Michigan City, IN
National Provider Identifier
1003069303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 33000170A
- Practice address
- 117 Wabash
Michigan City, IN 46360 - Phone
- (219) 362-2145
- NPI assigned
- Oct 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 33000170A | IN | Primary |
Addresses
Primary practice location
117 Wabash
Michigan City, IN 46360
Mailing address
117 Wabash St
Michigan City, IN 46360
Phone (219) 362-2145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100163580A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33000170A | IN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1003069303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 WABASH ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "46360",
"telephone_number": "219-362-2145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 WABASH",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "46360",
"telephone_number": "219-362-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORSE",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-30",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "33000170A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100163580A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.