Active NPI
Kimberley B Morris, LCSW
- Clinical Social Worker
- Morehead City, NC
National Provider Identifier
1083739791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C002923
- Practice address
- 3332 Bridges St Ste a
Morehead City, NC 28557-3296 - Phone
- (252) 726-9006
- Fax
- (252) 726-4325
- NPI assigned
- Mar 20, 2007
- Last updated
- Sep 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C002923 | NC | Primary |
Addresses
Primary practice location
3332 Bridges St Ste a
Morehead City, NC 28557-3296
Mailing address
PO Box 2358
Morehead City, NC 28557-2358
Phone (910) 279-6257
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1156P | Other | NC | BCBS |
| 6003466 | Medicaid | NC |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1083739791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2358",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285572358",
"telephone_number": "910-279-6257",
"fax_number": "252-726-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3332 BRIDGES ST STE A",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285573296",
"telephone_number": "252-726-9006",
"fax_number": "252-726-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "KIMBERLEY",
"middle_name": "B",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C002923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1156P",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003466",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.