Active NPI
Charles Ray Morgan Jr., LCSW
- Clinical Social Worker
- Fredericksburg, TX
National Provider Identifier
1013944743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19264
- Practice address
- 497 Hollmig LN
Fredericksburg, TX 78624-5035 - Phone
- (830) 992-0845
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- 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 | 19264 | TX | Primary |
Addresses
Primary practice location
497 Hollmig LN
Fredericksburg, TX 78624-5035
Mailing address
497 Hollmig LN
Fredericksburg, TX 78624-5035
Phone (830) 992-0845
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19264 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013944743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 HOLLMIG LN",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786245035",
"telephone_number": "830-992-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 HOLLMIG LN",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786245035",
"telephone_number": "830-992-0845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "CHARLES",
"middle_name": "RAY",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "19264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.