Active NPI
Nikita Suzanne Morency, LCSW
- Clinical Social Worker
- Douglasville, GA
National Provider Identifier
1114520327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005602
- Practice address
- 3492 Highway 5 Apt 101
Douglasville, GA 30135-6909 - Phone
- (678) 739-9348
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | CSW005602 | GA | Primary |
Addresses
Primary practice location
3492 Highway 5 Apt 101
Douglasville, GA 30135-6909
Mailing address
3492 Highway 5 Apt 101
Douglasville, GA 30135-6909
Other names 1
- Nikita Suzanne Harris
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- nikitaharris@tdh.allscriptsdirect.net
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": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1114520327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3492 HIGHWAY 5 APT 101",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301356909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3492 HIGHWAY 5 APT 101",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301356909",
"telephone_number": "678-739-9348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENCY",
"first_name": "NIKITA",
"middle_name": "SUZANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NIKITA",
"last_name": "HARRIS",
"middle_name": "SUZANNE",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.