Individual provider Active NPI

Amy Lauren Morrison, LCSW

  • Clinical Social Worker
  • Owensboro, KY
National Provider Identifier
1003483389
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255635 Issued in KY
Practice address
121 E 2ND St Ste 401
Owensboro, KY 42303-4118
Phone
(270) 240-1785
Fax
(270) 240-1861
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 255635 KY Primary

Addresses

Primary practice location

121 E 2ND St Ste 401
Owensboro, KY 42303-4118

Mailing address

121 E 2ND St Ste 401
Owensboro, KY 42303-4118
Phone (270) 240-1785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610002420 KY Practitioner - Clinical Social Worker 3476953555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255635KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Truenorth Treatment Center, LLC Clinical CurrentSince Apr 29, 2021 Accepting new patients

Locations

121 E 2nd St
Ste 401
Owensboro, KY 42303
Phone (270) 240-1785

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1003483389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 2ND ST STE 401",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034118",
            "telephone_number": "270-240-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 2ND ST STE 401",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034118",
            "telephone_number": "270-240-1785",
            "fax_number": "270-240-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "AMY",
        "middle_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.