Inner Wellness, a Licensed Clinical Social Worker PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNER WELLNESS, A LICENSED CLINICAL SOCIAL WORKER PC

Practice address

9241 Old State Hwy Unit 1170
Newcastle, CA 95658-1447

Phone

(530) 852-3226

Fax

(415) 741-1707

NPI assigned

Dec 13, 2023

Last updated

Dec 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Morgan Elizabeth Dickerson, LCSWNPI 1972003770

Title

President

Phone

(530) 852-3226

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Morgan Elizabeth Dickerson, MSW, LCSW

  • Clinical Social Worker
  • Newcastle, CA
  • NPI 1972003770
  NPD Authorized official

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1295503985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 OLD STATE HWY UNIT 1170",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "956581447",
            "telephone_number": "530-852-3226",
            "fax_number": "415-741-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 OLD STATE HWY UNIT 1170",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "956581447",
            "telephone_number": "530-852-3226",
            "fax_number": "415-741-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER WELLNESS, A LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-852-3226",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Edward Gerking
• William Warren Gillespie, D.C.
• Eric Gordon
• Alyssa Daniele Heno
• Inner Wellness Psychotherapy, Inc.
• Masue Martinson
• Mobile Phlebotomy Services LLC
• Newcastle Physical Therapy, Inc.
• Debra Nyland Jarvis, MS
• Kelly Phillips

• Clinical Social Worker in Newcastle, CA
• Providers in Newcastle, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.