Active NPI
Ebony Morris, LPN, LMSW
- Social Worker
- Staten Island, NY
National Provider Identifier
1295464568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 110814
- Practice address
- 320 Vanderbilt Ave Apt 5B
Staten Island, NY 10304-3552 - Phone
- (347) 636-8482
- NPI assigned
- Jun 10, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 119823 | NY | |
| Licensed Practical Nurse | 164W00000X | 332550 | NY | |
| Social Worker | 104100000X | 110814 | TX | Primary |
Addresses
Primary practice location
320 Vanderbilt Ave Apt 5B
Staten Island, NY 10304-3552
Mailing address
320 Vanderbilt Ave Apt 5B
Staten Island, NY 10304-3552
Phone (718) 356-5100
Other practice location 1
460 Brielle Ave
Staten Island, NY 10314-6427
Phone (718) 356-5100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emorris@camelotcounsiling.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119823 | NY | MD | Social Worker |
| 110814 | TX | MD | Social Worker |
| 332550 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1295464568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 VANDERBILT AVE APT 5B",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103043552",
"telephone_number": "718-356-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 VANDERBILT AVE APT 5B",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103043552",
"telephone_number": "347-636-8482"
}
],
"practiceLocations": [
{
"address_1": "460 Brielle Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103146427",
"country_code": "US",
"telephone_number": "718-356-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRIS",
"first_name": "EBONY",
"credential": "LPN, LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "119823",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "332550",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "110814",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emorris@camelotcounsiling.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "emorris@camelotcounseling.com",
"address_1": "460 Brielle Ave",
"city": "Staten Island",
"state": "NY",
"country_code": "US",
"postal_code": "103146427",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.