Individual provider Active NPI

Mary Kathleen Morehouse, LICSW

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1235719931
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26016 Issued in MN
Practice address
306 W Superior St Ste 1000
Duluth, MN 55802-1818
Phone
(218) 428-1175
Fax
(218) 216-1452
NPI assigned
Apr 8, 2021
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 26016 MN Primary

Addresses

Primary practice location

306 W Superior St Ste 1000
Duluth, MN 55802-1818

Mailing address

306 W Superior St Ste 1000
Duluth, MN 55802-1818
Phone (218) 428-1175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20210506001571 MN Practitioner - Clinical Social Worker 7012326861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Counseling Duluth LLCGroup PAC ID 4486911187, 13 clinicians

Practice addresses (Care Compare)

225 1St St N
Suite 3100B
Virginia, MN 55792-2457
Phone (218) 481-7660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling Duluth, LLC Clinical CurrentSince May 1, 2021 Accepting new patients

Locations

306 W Superior St
Ste 1000
Duluth, MN 55802
Phone (218) 428-1175

225 1st St N
Ste 3100B
Virginia, MN 55792
Phone (218) 481-7660

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1235719931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST STE 1000",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021818",
            "telephone_number": "218-428-1175",
            "fax_number": "218-216-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W SUPERIOR ST STE 1000",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021818",
            "telephone_number": "218-428-1175",
            "fax_number": "218-216-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREHOUSE",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.