Active NPI
Kristy Ann Morrell, LCSW-P
- Clinical Social Worker
- Shawnee, OK
National Provider Identifier
1023361409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4331-P
- Practice address
- 706 Madeline Dr
Shawnee, OK 74801-6564 - Phone
- (405) 585-9653
- NPI assigned
- Oct 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4331-P | OK | |
| Clinical Social Worker | 1041C0700X | 4331-P | OK | Primary |
Addresses
Primary practice location
706 Madeline Dr
Shawnee, OK 74801-6564
Mailing address
706 Madeline Dr
Shawnee, OK 74801-6564
Phone (405) 585-9653
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 |
|---|---|---|---|
| 4331-P | OK | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1023361409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 MADELINE DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748016564",
"telephone_number": "405-585-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 MADELINE DR",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748016564",
"telephone_number": "405-585-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRELL",
"first_name": "KRISTY",
"middle_name": "ANN",
"credential": "LCSW-P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-22",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "4331-P",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "4331-P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.