Individual provider Active NPI

Dominik D Morton, LCSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1033484605
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
10025 W. Markham Street
Ste 210
Little Rock, AR 72205-2178
Phone
(501) 663-5473
Fax
(501) 801-1816
NPI assigned
Mar 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2018-M AR
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

10025 W. Markham Street
Ste 210
Little Rock, AR 72205-2178

Mailing address

10025 W. Markham Street
Ste 210
Little Rock, AR 72205-2178
Phone (501) 663-5473

Other practice location 1

11700 Kanis Rd Ste 2
Little Rock, AR 72211-3794
Phone (501) 221-1941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20190322000273 AR Practitioner - Clinical Social Worker 2466792890 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Living Hope Southeast, LLC CurrentSince Jun 17, 2019 Accepting new patients
Inspiration Day Treatment, Inc. CurrentSince Feb 19, 2019 Accepting new patients

Locations

11700 Kanis Rd
Ste 2
Little Rock, AR 72211
Phone (501) 221-1941

10025 W Markham St
Ste 210
Little Rock, AR 72205
Phone 5016635473 ext. 443

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lhsoutheast/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1033484605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 W. MARKHAM STREET",
            "address_2": "STE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052178",
            "telephone_number": "501-663-5473",
            "fax_number": "501-801-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 W. MARKHAM STREET",
            "address_2": "STE 210",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052178",
            "telephone_number": "501-663-5473",
            "fax_number": "501-801-1816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11700 Kanis Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722113794",
            "country_code": "US",
            "telephone_number": "501-221-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTON",
        "first_name": "DOMINIK",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2023-12-21",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "2018-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.