Jazmine Aglae Morales, LMSW
Individual provider Active NPI Social Worker · Douglas, AZ
NPI 1003558065 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1003558065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LCSW22461 (AZ)
- Practice address
- 1100 N F Ave
Douglas, AZ 85607-1919 - Phone
- (520) 364-3285
- Fax
- (520) 364-3378
- NPI assigned
- Apr 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chiricahua Community Health Centers Inc
Practice addresses (Care Compare)
108 Arizona St
Bisbee, AZ 85603-1804
Phone (520) 432-3309
1100 N F Ave
Douglas, AZ 85607-1919
Phone (502) 364-3285
1111 N F Ave
Douglas, AZ 85607-1918
Phone (520) 364-6860
1151 E 16TH St
Douglas, AZ 85607-1603
Phone (520) 364-5437
1205 N F Ave
Douglas, AZ 85607-1920
Phone (520) 364-1429
815 E 15TH St
Douglas, AZ 85607-1631
Phone (520) 364-5437
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241111003227 | AZ | Practitioner - Clinical Social Worker | 4284168493 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW22461 | AZ | MD | Social Worker |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiricahua Community Health Centers, Inc | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc. | Current |
Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current |
Accepting new patients | |
| Hunkapi Services LLC | Past |
Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Past | Accepting new patients | |
| Hunkapi Programs Inc | Past |
Accepting new patients |
Locations
335 S Ocotillo St
Benson, AZ 85602
Phone (520) 326-4811
310 Arizona St
Bisbee, AZ 85603
Phone (520) 432-1145
108 Arizona St
Bisbee, AZ 85603
Phone (520) 432-3309
815 E 15th St
Douglas, AZ 85607
Phone (520) 364-5437
1111 N F Ave
Douglas, AZ 85607
Phone (520) 364-6860
1151 E 16th St
Douglas, AZ 85607
Phone (520) 364-5437
1205 N F Ave
Douglas, AZ 85607
Phone (520) 364-6852
1100 N F Ave
Douglas, AZ 85607
Phone (520) 364-3285
10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222
155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331
77 Calle Portal
Ste C240
Sierra Vista, AZ 85635
Phone (520) 335-6271
Networks
- NM HMO C-SNP
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW22461 | AZ | Yes |
Addresses
Primary practice location
1100 N F Ave
Douglas, AZ 85607-1919
Mailing address
1205 N F Ave
Douglas, AZ 85607-1920
Phone (520) 364-1429
Other providers in Douglas, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.