Individual provider Active NPI

Patricia Ann Morgan, PHD LCSW

  • Clinical Social Worker
  • Fairfax, VA
National Provider Identifier
1093865271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000407 Issued in VA
Practice address
10400 Eaton Place
Suite 110
Fairfax, VA 22030-3419
Phone
(703) 273-9216
Fax
(703) 961-0187
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904000407 VA Primary

Addresses

Primary practice location

10400 Eaton Place
Suite 110
Fairfax, VA 22030-3419

Mailing address

10420 Breckinridge Lane
Fairfax, VA 22030-3419
Phone (703) 691-4968

Other identifiers 1

IdentifierTypeStateIssuer
10410666OtherCAQH UNIVERSAL CREDENTIAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20091230000554 DC Practitioner - Clinical Social Worker 1456492289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0904000407VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Center for Adult, Family and Career Counseling CurrentSince Jul 30, 2009 Accepting new patients

Locations

10400 Eaton Pl
Ste 110
Fairfax, VA 22030
Phone (703) 273-9216

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093865271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 BRECKINRIDGE LANE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303419",
            "telephone_number": "703-691-4968",
            "fax_number": "703-691-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 EATON PLACE",
            "address_2": "SUITE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303419",
            "telephone_number": "703-273-9216",
            "fax_number": "703-961-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH UNIVERSAL CREDENTIAL",
            "identifier": "10410666",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.