Individual provider Active NPI

Douglas Dan Morsette, MSW

  • Clinical Social Worker
  • Snellville, GA
National Provider Identifier
1083844971
Registry record updated Jul 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4370 Telida TRL
Snellville, GA 30039-2734
Phone
(770) 885-7930
Fax
(770) 885-7930
NPI assigned
Jul 26, 2009
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

4370 Telida TRL
Snellville, GA 30039-2734

Mailing address

4370 Telida TRL
Snellville, GA 30039-2734
Phone (770) 885-7930

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2009.

{
    "created_epoch": "1248566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248566400000",
    "number": "1083844971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 TELIDA TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300392734",
            "telephone_number": "770-885-7930",
            "fax_number": "770-885-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 TELIDA TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300392734",
            "telephone_number": "770-885-7930",
            "fax_number": "770-885-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSETTE",
        "first_name": "DOUGLAS",
        "middle_name": "DAN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-26",
        "last_updated": "2009-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2009; 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.