Individual provider Active NPI

Ebony Morris, LPN, LMSW

  • Social Worker
  • Staten Island, NY
National Provider Identifier
1295464568
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
110814 Issued in TX
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

Updated by the provider on Mar 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
119823NYMDSocial Worker
110814TXMDSocial Worker
332550NYMDLicensed 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.

Verify at the official NPI Registry.