Individual provider Active NPI

Mark Allan Morton, MSW, LCSW

  • Clinical Social Worker
  • Glendale, AZ
National Provider Identifier
1023009578
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1722I Issued in AZ
Practice address
7155 W Campo Bello Dr
Suite C-120
Glendale, AZ 85308-8590
Phone
(623) 322-7301
Fax
(602) 680-5576
NPI assigned
Nov 3, 2005
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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 SW1722I AZ Primary

Addresses

Primary practice location

7155 W Campo Bello Dr
Suite C-120
Glendale, AZ 85308-8590

Mailing address

7155 W Campo Bello Dr
Suite C-120
Glendale, AZ 85308-8590
Phone (623) 322-7301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2019 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW1722IAZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Forbes Warden PHD PLLC Past Accepting new patients
Arizona Family Research Counseling Center PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1023009578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 W CAMPO BELLO DR",
            "address_2": "SUITE C-120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088590",
            "telephone_number": "623-322-7301",
            "fax_number": "602-680-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 W CAMPO BELLO DR",
            "address_2": "SUITE C-120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088590",
            "telephone_number": "623-322-7301",
            "fax_number": "602-680-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "MARK",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "SW1722I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.