Individual provider Active NPI

Elizabeth Morris, LMSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1407516214
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12207 Issued in NM
Practice address
1911 5TH St Ste 100
Santa Fe, NM 87505-5403
Phone
(505) 927-8026
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 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 12207 NM Primary

Addresses

Primary practice location

1911 5TH St Ste 100
Santa Fe, NM 87505-5403

Mailing address

265 El Duane CT
Santa Fe, NM 87501-1179
Phone (617) 631-7949

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
I20240812003221 MN Practitioner - Clinical Social Worker 1850839697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centered PracticeGroup PAC ID 8527232198, 7 clinicians

Practice addresses (Care Compare)

401 Division St S
Suite C
Northfield, MN 55057-2096
Phone 50764972941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12207NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Practice CurrentSince May 13, 2024 Accepting new patients

Locations

401 Division St S
Ste C
Northfield, MN 55057
Phone (507) 645-0444

1619 Dayton Ave
Ste 303
Saint Paul, MN 55104
Phone (651) 605-6020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1407516214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 EL DUANE CT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011179",
            "telephone_number": "617-631-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 5TH ST STE 100",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055403",
            "telephone_number": "505-927-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "12207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.