Individual provider Active NPI

Morgan Kidder

  • Clinical Social Worker
  • Cedar Falls, IA
National Provider Identifier
1033751771
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
099661 Issued in IA
Practice address
215 Franklin St
Cedar Falls, IA 50613-2746
Phone
(913) 912-0334
Fax
(443) 331-4441
NPI assigned
Oct 15, 2019
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 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 11319 KS
Clinical Social Worker 1041C0700X 099661 IA Primary

Addresses

Primary practice location

215 Franklin St
Cedar Falls, IA 50613-2746

Mailing address

215 Franklin St
Cedar Falls, IA 50613-2746
Phone (913) 735-4077

Other practice location 1

6000 LaMar Ave Ste 130
Mission, KS 66202-3299
Phone (913) 826-4200

Other identifiers 1

IdentifierTypeStateIssuer
1130399MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WEBMAIL Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20220728003674 IA Practitioner - Clinical Social Worker 9032591656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 Franklin St
Cedar Falls, IA 50613-2746
Phone (913) 912-0334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11319KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
FTS Counseling PLLC Clinical CurrentSince Jun 1, 2022 Accepting new patients
Olive Branch Counseling Services PLLC Clinical PastSince Apr 1, 2024 Accepting new patients

Locations

215 Franklin St
Cedar Falls, IA 50613
Phone (319) 214-5626

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1033751771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FRANKLIN ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132746",
            "telephone_number": "913-735-4077",
            "fax_number": "443-331-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FRANKLIN ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132746",
            "telephone_number": "913-912-0334",
            "fax_number": "443-331-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 LaMar Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "KS",
            "postal_code": "662023299",
            "country_code": "US",
            "telephone_number": "913-826-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDDER",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "099661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1130399",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WEBMAIL",
            "affiliation": "N",
            "endpointDescription": "DESKTOP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "215 Franklin St",
            "city": "Cedar Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506132746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.