Active NPI
Shannon N Carpenter Morfeld, LCSW
- Clinical Social Worker
- Jefferson City, MO
National Provider Identifier
1225076623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1432 Southwest Blvd
Jefferson City, MO 65109 - Phone
- (573) 632-5560
- Fax
- (573) 632-5875
- NPI assigned
- Jun 4, 2006
- 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 | MO | Primary |
Addresses
Primary practice location
1432 Southwest Blvd
Jefferson City, MO 65109
Mailing address
835 County Road 612
Freeburg, MO 65035-2366
Phone (573) 291-8821
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 732280 | Other | MO | HEALTHLINK |
| 202601 | Other | MO | BCBS |
Other names 1
- Ms. Shannon N Carpenter
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 |
|---|---|---|---|
| 200402149 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Sleep Arts & Sciences | Past | Accepting new patients | |
| Age to Age Counseling PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Counselor
- Albuquerque, NM
- NPI 1336178060
-
- Sleep Disorder Diagnostic Clinic/Center
- Albuquerque, NM
- NPI 1881798981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225076623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 COUNTY ROAD 612",
"city": "FREEBURG",
"state": "MO",
"postal_code": "650352366",
"telephone_number": "573-291-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 SOUTHWEST BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "65109",
"telephone_number": "573-632-5560",
"fax_number": "573-632-5875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORFELD",
"first_name": "SHANNON",
"middle_name": "N CARPENTER",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "732280",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "202601",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "CARPENTER",
"middle_name": "N",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.