Individual provider Active NPI

Morgan Charnece Parks, LICSW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1366293094
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5608C Issued in AL
Practice address
101 Leaf Lake Blvd Apt 918
Birmingham, AL 35211-7257
Phone
(707) 208-8953
NPI assigned
Mar 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 5608C AL Primary

Addresses

Primary practice location

101 Leaf Lake Blvd Apt 918
Birmingham, AL 35211-7257

Mailing address

101 Leaf Lake Blvd Apt 918
Birmingham, AL 35211-7257
Phone (707) 208-8953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • 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
I20250403000278 NC Practitioner - Clinical Social Worker 1355864026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5608CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthearted Therapy, LLC Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Feb 21, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

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.

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1366293094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LEAF LAKE BLVD APT 918",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352117257",
            "telephone_number": "707-208-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LEAF LAKE BLVD APT 918",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352117257",
            "telephone_number": "707-208-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "MORGAN",
        "middle_name": "CHARNECE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5608C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.