Active NPI
Courtney Anna Ruth Morris, LCSW
- Clinical Social Worker
- Taft, CA
National Provider Identifier
1164979498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW69935
- Practice address
- 1021 4TH St Ste B
Taft, CA 93268-2433 - Phone
- (661) 765-7025
- Fax
- (661) 765-7045
- NPI assigned
- Sep 2, 2016
- Last updated
- Oct 31, 2016
- 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 | LCSW69935 | CA | Primary |
Addresses
Primary practice location
1021 4TH St Ste B
Taft, CA 93268-2433
Mailing address
29325 Kimberlina Road
Wasco, CA 93280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW69935 | Other | CA | LCSW NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW69935 | CA | MD | Clinical Social Worker |
| 69935 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Healthcare Professional Medical PC | Past | Accepting new patients | |
| Regenerative Spine, Pain, and Neuropathy Centers, Inc. | Past | Accepting new patients | |
| College Community Services | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Clarvida
- Community/Behavioral Health Agency
- Tehachapi, CA
- NPI 1831870500
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bakersfield, CA
- NPI 1497323570
-
dba Americans for Better Health Medical Group
- Family Medicine Physician
- Pasadena, CA
- NPI 1073987095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1164979498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29325 KIMBERLINA ROAD",
"city": "WASCO",
"state": "CA",
"postal_code": "93280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 4TH ST STE B",
"city": "TAFT",
"state": "CA",
"postal_code": "932682433",
"telephone_number": "661-765-7025",
"fax_number": "661-765-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "COURTNEY",
"middle_name": "ANNA RUTH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW69935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW NUMBER",
"identifier": "LCSW69935",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taft, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.