Individual provider Active NPI

Shakirah Morgan

  • Clinical Social Worker
  • Blackwood, NJ
National Provider Identifier
1043874233
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012571 Issued in DE
Practice address
141 S Black Horse Pike Ste 102
Blackwood, NJ 08012-2958
Phone
(302) 208-9222
Fax
(877) 497-3077
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0012571 DE Primary
Clinical Social Worker 1041C0700X 44SC06232000 NJ
Clinical Social Worker 1041C0700X CSW009936 GA

Addresses

Primary practice location

141 S Black Horse Pike Ste 102
Blackwood, NJ 08012-2958

Mailing address

1130 Ogletown Rd Ste 2
Newark, DE 19711-5689
Phone (856) 655-8444

Other practice location 1

123 Eagles Landing Pkwy
Stockbridge, GA 30281-5092
Phone (404) 446-0300

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

LicenseStateTypeSpecialty
Q1-0012571DEMDClinical Social Worker
CSW009936GAMDClinical Social Worker
44SC06232000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Family Behavioral Health of Georgia PastSince Nov 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1043874233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 OGLETOWN RD STE 2",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115689",
            "telephone_number": "856-655-8444",
            "fax_number": "877-497-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S BLACK HORSE PIKE STE 102",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122958",
            "telephone_number": "302-208-9222",
            "fax_number": "877-497-3077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Eagles Landing Pkwy",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302815092",
            "country_code": "US",
            "telephone_number": "404-446-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SHAKIRAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012571",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06232000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.