Active NPI
Jeannine F. Morris, LCSW, Acsw, LLC
- Clinical Social Worker
- New Iberia, LA
National Provider Identifier
1104381433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JEANNINE F. MORRIS, LCSW, ACSW, LLC
- Practice address
- 112 Church Alley
New Iberia, LA 70560 - Phone
- (337) 339-0051
- Fax
- (337) 276-7882
- NPI assigned
- Jan 31, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jeannine F. Morris, LCSW
- Title
- Licensed Clinical Social Worker/Own
- Phone
- (337) 339-0051
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
112 Church Alley
New Iberia, LA 70560
Mailing address
205 Sandager Ave.
Jeanerette, LA 70544
Phone (337) 339-0051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600809400 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230405000587 | LA | Part B Supplier - Clinic/Group Practice | 5799150702 |
Receives reassigned benefits from 1 practitioner Practice locations: New Iberia, LA |
National Provider Directory
National Provider DirectoryLocations
112 Church Aly
New Iberia, LA 70560
Phone (337) 339-0051
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548892800000",
"number": "1104381433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SANDAGER AVE.",
"city": "JEANERETTE",
"state": "LA",
"postal_code": "70544",
"telephone_number": "337-339-0051",
"fax_number": "337-276-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 CHURCH ALLEY",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "70560",
"telephone_number": "337-339-0051",
"fax_number": "337-276-7882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEANNINE F. MORRIS, LCSW, ACSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-31",
"last_updated": "2019-01-31",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "JEANNINE",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER/OWN",
"authorized_official_telephone_number": "337-339-0051",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600809400",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.